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

Nichole Davis, PA-S

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720964588

Nichole Davis, PA-S is a Student in an Organized Health Care Education/Training Program in Fullerton, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2575 Yorba Linda Blvd
Fullerton, CA 92831-1699
Phone: (714) 872-5689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1720964588
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

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