Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hallie Caroline Davis, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1366283269

Hallie Caroline Davis, NURSEPRACTITIONER is a Nurse Practitioner in Rolla, Missouri. Qualified in 2024, 2 years ago. Practices with South Central Missouri Community Health Center, a 13-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2024
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Practice location Address checks out

1081 E 18th St
Rolla, MO 65401-2448
Phone: (573) 426-4455
Fax: (573) 426-6723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2024020241 (MO)

Record details

NPI number1366283269
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice South Central Missouri Community Health Center — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rolla