Individual
SHARON G DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
202 LARRY JOE HARLESS DR., GILBERT, WV 25621-1842
(304) 664-6270
(304) 664-6272
Mailing address
PO BOX 731, PECKS MILL, WV 25547-0731
(304) 784-7231
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
51345
KY
363LF0000X
Family Nurse Practitioner
3007210
KY
363LF0000X
Family Nurse Practitioner
Primary
63088
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002750753
HIGHMARK BCBS
WV
05
—
3810025953
—
WV
Enumeration date
10/10/2011
Last updated
07/20/2021
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