SHELBY DAVIS (NPI# 1568836815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568836815 |
| Entity Type | Individual |
| Full Name | SHELBY DAVIS |
| Credential | NURSE PRACTITIONER |
| Practice Address |
2860 Mcdowell Road Ext Jackson MS 39204-4238 |
| Practice Telephone | 6013721117 |
| Practice Fax Number | 6013733004 |
| Mailing Telephone | 6013721117 |
| Mailing Fax Number | 6013733004 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2017-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R883040 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861921009 | Shelby Nicole Davis | Specialist/Technologist | 122 Jade Way, Maysville, GA 30558-5614 | 2017-06-10 |
| 1669004131 | Shelby C Davis | Licensed Practical Nurse | 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2020-02-12 |
| 1386173227 | Shelby Davis | Specialist/Technologist | 1600 Washington Ave, Conway, AR 72032-4115 | 2017-06-05 |
| 1427266154 | Shelby Alexis Davis | Specialist | 1640 Powers Ferry Rd, Building 2, Suite 150, Marietta, GA 30067-5491 | 2007-05-18 |
| 1235260738 | Shelby Davis | Internal Medicine | 6601 Preston Rd, Plano, TX 75024-2502 | 2007-03-08 |
| Street Address |
2860 MCDOWELL ROAD EXT |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-4238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407968738 | Minor Med Care, P.a. | Clinic/Center | 2860 Mcdowell Road Ext, Jackson, MS 39204-4238 | 2006-08-31 |
| 1750660163 | Linda Trenett Mccoy | Nurse Practitioner | 2860 Mcdowell Road Ext, Jackson, MS 39204-4238 | 2011-08-16 |
| 1548566441 | Ayana Denise Red | Nurse Practitioner | 2860 Mcdowell Road Ext, Jackson, MS 39204-4238 | 2011-02-10 |
| 1750691465 | Daphne Felicia Todd | Nurse Practitioner | 2860 Mcdowell Road Ext, Jackson, MS 39204-4238 | 2010-10-15 |
| 1790003044 | Shari R. Brown | Nurse Practitioner | 2860 Mcdowell Road Ext, Jackson, MS 39204-4238 | 2010-05-12 |
| 1285746511 | Timothy Duncan Estes | General Practice | 2860 Mcdowell Road Ext, Jackson, MS 39204-4238 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537220 | John Franklin Niswonger | Nurse Practitioner | 861 Canyon Trl, Jackson, MO 63755-4001 | 2020-10-28 |
| 1902421746 | Rebecca Mcwhirter | Nurse Practitioner | 1512 Roswell Dr, Jackson, MS 39211-5928 | 2020-06-08 |
| 1023656642 | Nicole Lynn Mckee | Nurse Practitioner | 170 Bridge St, Jackson, OH 45640-1144 | 2019-12-13 |
| 1104387695 | Chatina Spears Martin | Nurse Practitioner | 308 Melba Hill Dr, Jackson, MS 39209-2833 | 2019-03-27 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1942649686 | Jennifer Annette Paulson | Nurse Practitioner | 113 W Michigan Ave Ste 201, Jackson, MI 49201-1340 | 2013-06-16 |
| 1770880171 | Tracy Little | Nurse Practitioner | 2782 N Highland Ave Ste C, Jackson, TN 38305-1797 | 2011-02-21 |
| 1750554267 | Barbara Darlington | Nurse Practitioner | 14 Abes Way, Jackson, NJ 08527-4440 | 2008-04-04 |
| 1902075401 | Dana Leanne Wilhite | Nurse Practitioner | 38 Abbey Pl, Jackson, TN 38305-1794 | 2008-02-28 |
| 1659550036 | Kristen Elizabeth Tweedy | Nurse Practitioner | 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 | 2007-11-01 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.