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

Nicole Davison, PA

Individual provider Physician Assistant · NPI 1194068650

Nicole Davison, PA is a Physician Assistant in Ann Arbor, Michigan. Qualified in 2012, 14 years ago. Practices with Pure Psychiatry of Michigan PLLC, a 100-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
14
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

710 Avis Dr Ste 200
Ann Arbor, MI 48108-9649
Phone: (734) 373-7246
Fax: (734) 375-6585
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1194068650
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 3, 2013
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address710 Avis Dr Ste 200, Ann Arbor, MI 48108-9649

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pure Psychiatry Of Michigan Pllc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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