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

Sophoan Davis

Individual provider Family Nurse Practitioner · NPI 1003647942

Sophoan Davis is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2024

Practice location Address checks out

4010 Montgomery Blvd NE
Albuquerque, NM 87109-1186
Phone: (505) 254-6100
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 61154 (NM)

Record details

NPI number1003647942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2024
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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)
Accepts Medicare assignment Not indicated

Other providers in Albuquerque