Individual
SHERA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 301-5897
Mailing address
6258 HIGHWAY 235, NANCY, KY 42544
(937) 301-5897
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4016530
KY
164W00000X
Licensed Practical Nurse
PN.145176-M-I V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN.145176-M-IV
LPN
OH
Enumeration date
02/07/2013
Last updated
04/14/2024
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