EBONY NICOLE DAVIS (NPI# 1720635394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720635394 |
| Entity Type | Individual |
| Full Name | EBONY NICOLE DAVIS |
| Credential | LPN |
| Practice Address |
169 Parkview Rd Savannah GA 31419-9671 |
| Practice Telephone | 9126778231 |
| Practice Fax Number | 8884944209 |
| Mailing Telephone | 9126778231 |
| Mailing Fax Number | 8884944209 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN076466 | GA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LPN STATE LICENSE | LPN076466 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083194666 | Ebony Nakia Davis | Social Worker | 830 Ezzard Charles Dr # 45214, Cincinnati, OH 45214-2525 | 2018-08-14 |
| 1891293692 | Ebony R Davis | Social Worker | 5422 Cresta Way, Jacksonville, FL 32211-5515 | 2018-01-26 |
| 1144843749 | Ebony Shealease Davis | Counselor | 1768 Mitchell Rd Ste 301, Ceres, CA 95307-2156 | 2020-05-19 |
| 1730728353 | Ebony Natasha Davis | Licensed Practical Nurse | 532 Maxwell Ave, Cincinnati, OH 45219-2408 | 2019-12-30 |
| 1326566324 | Ebony Davis | Case Manager/Care Coordinator | 304 N 6th St, West Memphis, AR 72301-3221 | 2017-08-30 |
| 1447695184 | Ebony Renae Davis | Psychiatry & Neurology | 625 19th St S, Birmingham, AL 35233-1900 | 2013-05-08 |
| Street Address |
169 PARKVIEW RD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-9671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196349 | Ebony Healthcare Services | In Home Supportive Care | 169 Parkview Rd, Savannah, GA 31419-9671 | 2020-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033740733 | Angela Lynn Caramela | Licensed Practical Nurse | 114 Picket Row, Savannah, GA 31410-2527 | 2020-01-31 |
| 1528611167 | Ashley Walker | Licensed Practical Nurse | 122 Gilbert Ave, Savannah, GA 31408-3414 | 2019-07-23 |
| 1982166450 | Patricia Elaine Akbar | Licensed Practical Nurse | 12 Conservation Dr, Savannah, GA 31419-7548 | 2019-04-03 |
| 1447603626 | Martha Linan | Licensed Practical Nurse | 119 Wimbledon Dr, Savannah, GA 31419-9456 | 2016-07-22 |
| 1962855809 | Leonard Good | Licensed Practical Nurse | 126 Saint Ives Dr, Savannah, GA 31419-8917 | 2016-07-15 |
| 1619325735 | Marcy Mann | Licensed Practical Nurse | 1848 Hadden Rd, Savannah, NY 13146-9778 | 2016-05-31 |
| 1861866543 | Tonya Deneen Parker | Licensed Practical Nurse | 1344 Augusta Ave, Savannah, GA 31415-2063 | 2015-11-18 |
| 1790175263 | Elliott Dawkins | Licensed Practical Nurse | 2071 Grove Point Rd, Savannah, GA 31419-9753 | 2015-02-04 |
| 1962803395 | Constance Young | Licensed Practical Nurse | 240 Duncan Dr Bldg 1440, Tuttle Army Health Clinic, Savannah, GA 31409-5102 | 2014-09-04 |
| 1205236627 | Yohnn Hairston | Licensed Practical Nurse | 10612 Abercorn St Apt L6, Savannah, GA 31419-4422 | 2014-09-04 |
| Find all providers in SAVANNAH | ||||
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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.