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

Miss. Marcia Antonia Davis, REGISTEREDNURSE

Individual provider Gerontology Nurse Practitioner · NPI 1881310225

Miss. Marcia Antonia Davis, REGISTEREDNURSE is a Nurse Practitioner in Detroit, Michigan. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20755 Greenfield Rd Ste 802p, Southfield, MI 48075-5410 — (248) 864-8737

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704341865 (MI)
Gerontology Registered Nurse Taxonomy 163WG0600X · Licence 4704341865 (MI)

Record details

NPI number1881310225
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedOctober 18, 2022
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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