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Individual

DR. SHEILA ANN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
6644 GARY ROAD, SUITE D BOX 720448, BYRAM, MS 39272-9600
(769) 572-5158
(769) 572-5158
Mailing address
P.O. BOX 720448, 6644 GARY ROAD SUITE D,, BYRAM, MS 39272-9600
(769) 572-5158
(769) 572-5158

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
199994
TN
363LF0000X
Family Nurse Practitioner
Primary
R859652
MS
363LF0000X
Family Nurse Practitioner
RN24693
GA

Other

Enumeration date
08/31/2015
Last updated
12/09/2016
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