Individual
SHERRICKA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 N ADAMS ST, TALLAHASSEE, FL 32301-1113
(850) 459-7611
(850) 577-1559
Mailing address
276 DUFFLE AVENUE, GREENSBORO, FL 32330
(850) 459-7611
(850) 577-1559
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5206631
FL
3747P1801X
Personal Care Attendant
PN5206631
FL
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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