IndividualActive
Andrew Davidson, STUDENT
NPI 1871047639 · Physician Assistant · Camp Lejeune, NC
Provider details
- NPI number
- 1871047639
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- STUDENT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Other Service Providers
Student, Health Care
Practice location
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (214) 668-9607
Approximate (ZIP-level) locationGet directions
Mailing address
6232 Mississippi St
Camp Lejeune, NC 28547-2532
Registry dates
- Enumerated
- 2016-08-10
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.