Davis, Sharon R

Davis, Sharon R is an individual health care provider with primary practice located at 248 E Capitol St 840 Trust Mark Bldg, Jackson MS 39201-2503. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Davis, Sharon R can be contacted via phone (800) 632-6074.

Contact Information

Primary practice address
248 E Capitol St 840 Trust Mark Bldg Jackson MS 39201-2503
Phone: (800) 632-6074
Fax: (866) 341-7509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R529656 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X R529656 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X R529656 Mississippi

Profile Details

NPI number 1194753962
LBN Legal business name Davis, Sharon R
Credentials FPMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Aug 17th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194753962 NPPES
Mississippi MEDICAID 04959317

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