Healthcare Provider Details

I. General information

NPI: 1184820128
Provider Name (Legal Business Name): SHERRY ANNICE DAVIS NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRY ANNICE HARWELL NP-C

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 JESSE JEWELL PKWY SE
GAINESVILLE GA
30501-3834
US

IV. Provider business mailing address

PO BOX 658
GAINESVILLE GA
30503-0658
US

V. Phone/Fax

Practice location:
  • Phone: 770-297-5700
  • Fax: 770-718-1877
Mailing address:
  • Phone: 770-718-1122
  • Fax: 770-535-7445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN050862
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP050862
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN050862
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: