Individual
SHELLY ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 273-1701
(302) 273-4497
Mailing address
1801 ASHLEY CIR, BOWLING GREEN, KY 42104-3362
(270) 793-2165
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1088723
KY
363L00000X
Nurse Practitioner
3007042
KY
363L00000X
Nurse Practitioner
LG-0012882
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0012882
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100185690
—
KY
Enumeration date
09/02/2011
Last updated
09/13/2024
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