| Doctor Name: | DR. SHEILA ANN DAVIS |
| NPI Number: | 1013384577 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | RN24693 |
| Business Practice Address: | 118 College Dr # 5095 Hattiesburg, MS - 394060001 |
| Business Phone Number: | 6012665490 |
| Business Fax Number: | 6012666144 |
| Mailing Address: | 118 College Dr, # 5095 HATTIESBURG |
| State: | MS |
| Postal Code: | 394060001 |
| Phone Number: | 6012665490 |
| Fax Number: | 6012666144 |
| NPI Enumeration Date: | 08/31/2015 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN24693 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |