Healthcare Provider Details

I. General information

NPI: 1760834857
Provider Name (Legal Business Name): SHERI N. DAVIS A.P.R.N., FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2016
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11005 HEBER SPRINGS RD N
CONCORD AR
72523-9561
US

IV. Provider business mailing address

49 HIGHWAY 62 412
ASH FLAT AR
72513-9594
US

V. Phone/Fax

Practice location:
  • Phone: 844-291-4901
  • Fax: 870-895-2164
Mailing address:
  • Phone: 573-718-2570
  • Fax: 870-856-2133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA004809
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: