Shelly Denice Davis in Tifton - Nurse Practitioner
Shelly Denice Davis - NPI 1386805885
Shelly Denice Davis is a Nurse Practitioner in Tifton, Georgia. Shelly Denice Davis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shelly Denice Davis is 1386805885. The last update date is 2016-06-13.
Shelly Denice Davis's current location address is 612 Love Avenue, Tifton, Georgia. You can contact this provider via phone number 2293913300 and fax number 2293881948. The mailing address for Shelly Denice Davis is 612 Love Avenue, Tifton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly Denice Davis |
|---|---|
| Address | 612 Love Avenue, Tifton, Georgia |
| Phone Number | 2293913300 |
| Fax Number | 2293881948 |
| Sole Proprietor | N |
| Credentials | FNP-BC |
NPI Number Detail
| NPI Number | 1386805885 |
|---|---|
| Provider Enumeration Date | 2008-06-18 |
| Last Updated Date | 2016-06-13 |
Provider Mailing Address Detail
| Address | 612 Love Avenue |
|---|---|
| City | Tifton |
| State | Georgia (GA) |
| Post Code | 31794 |
| Phone Number | 2293913300 |
| Fax Number | 2293881948 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN089222 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 481466728A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shelly Denice Davis by the Centers for Medicare & Medicaid Services?
The Shelly Denice Davis has been assigned the NPI (National Provider Identifier) 1386805885 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Shelly Denice Davis's facilities are geographically located?
The facilities of Shelly Denice Davis are physically situated at the following location: 612 Love Avenue, Tifton, GA, 31794.
What is Shelly Denice Davis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shelly Denice Davis is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Shelly Denice Davis receive the assignment of its 1386805885 from the Centers for Medicare & Medicaid Services?
The Shelly Denice Davis was issued its 1386805885 by the Centers for Medicare & Medicaid Services on 2008-06-18.
When was the information regarding Shelly Denice Davis most recently updated?
The details pertaining to the Shelly Denice Davis, including its address, specialty, and other relevant information, were last refreshed on 2016-06-13.