Individual
IVORY CLORANDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
331 MILAM ST STE 200, SHREVEPORT, LA 71101-5353
(318) 347-6143
Mailing address
331 MILAM ST STE 200, SHREVEPORT, LA 71101-5353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN111448
LA
163WC0400X
Case Management Registered Nurse
Primary
RN111448
LA
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
02/16/2026
Last updated
02/18/2026
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