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

Tanner Davis, DNP

Individual provider Family Nurse Practitioner · NPI 1962201491

Tanner Davis, DNP is a Nurse Practitioner in Dewey, Arizona. Qualified in 2024, 2 years ago. Practices with Minuteclinic Diagnostic of Kansas PA, a 139-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2025
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Practice location Address checks out

12075 E State Route 69 Ste B
Dewey, AZ 86327-4569
Phone: (928) 772-1673
Fax: (928) 772-1674
Show map & directions

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

Additional practice locations (2)

  • 3251 N Windsong Dr, Prescott Valley, AZ 86314-1222 — (928) 772-2582
  • 8101 Clayton Rd, Clayton, MO 63117-1103 — (314) 726-2124

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 341074 (AZ)

Record details

NPI number1962201491
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorNo
NPI enumeratedMarch 8, 2025
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address12075 E State Route 69 Ste B, Dewey, AZ 86327-4569

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 Minuteclinic Diagnostic Of Kansas Pa — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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