MEDICARE: MRS. SHERI N. DAVIS A.P.R.N., FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A004809	AR

General Provider Information

NPI Number	:	1760834857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERI N. DAVIS A.P.R.N., FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 707
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72654-0707
Country	:	US
Telephone Number	:	870-615-9815
Fax Number	:	870-269-3448

Provider Business Practice Location Address
First Line	:	103 MOUNTAIN PLACE DR
Second Line	:
City	:	MOUNTAIN VIEW
State	:	AR
Zip	:	72560-6802
Country	:	US
Telephone Number	:	870-269-3447
Fax Number	:	870-269-3448

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2016
Last Update Date	:	12/21/2025

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