Individual
SHONNA PRUITT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-8000
(601) 351-8586
Mailing address
3550 HIGHWAY 468 W, P.O. BOX 1 FISCAL SERVICE, WHITFIELD, MS 39193-5529
(601) 351-8000
(601) 351-8586
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R857213
MS
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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