Individual
MS. JORRI SHONTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
540 COWAN ST, CANTON, MS 39046-4142
(516) 210-5600
(917) 254-4419
Mailing address
540 COWAN ST, CANTON, MS 39046-4142
(601) 502-3894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61173059
WA
163W00000X
Registered Nurse
RN739408
PA
163W00000X
Registered Nurse
RN95325319
CA
363L00000X
Nurse Practitioner
R870049
MS
363LF0000X
Family Nurse Practitioner
0024180866
VA
363LF0000X
Family Nurse Practitioner
11015877
FL
363LF0000X
Family Nurse Practitioner
202211989NP-PP
OR
363LF0000X
Family Nurse Practitioner
53-79830-021
KS
363LF0000X
Family Nurse Practitioner
61173059
WA
363LF0000X
Family Nurse Practitioner
Primary
870049
MS
363LF0000X
Family Nurse Practitioner
C-RXN.0001402-C-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
R870049
MS
363LF0000X
Family Nurse Practitioner
SP023870
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00303529
—
MS
Enumeration date
01/25/2011
Last updated
04/06/2026
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