Individual
SHARON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 WILDBERRY DR, ROCKY MOUNT, NC 27804-7723
(252) 314-3158
Mailing address
21 WILDBERRY DR, ROCKY MOUNT, NC 27804-7723
(252) 314-3158
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
085772
NC
171W00000X
Contractor
—
—
347C00000X
Private Vehicle
Primary
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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