# SHANILLE CLARKE DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1831670728
- **Gender:** F
- **Credential:** COTA, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 1116933 | TX | — |
| 163W00000X | Registered Nurse | N62319 | NY | — |
| 163WP0200X | Pediatric Registered Nurse | 1116933 | TX | — |
| 171M00000X | Case Manager/Care Coordinator | 1116933 | TX | Yes |
| 224Z00000X | Occupational Therapy Assistant | 214385 | TX | — |
| 251B00000X | Case Management Agency | 1116933 | TX | — |

## Other

- **Enumeration date:** 08/28/2018
- **Last updated:** 10/06/2026