MS. JORRI SHONTE DAVIS FNP-C NPI 1942505706

NPI Information

NPI: 1942505706
Provider Name: MS. JORRI SHONTE DAVIS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
540 COWAN STREET
CANTON, MS
ZIP 39046
Phone: (516) 210-5600
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MS. Jorri Shonte Davis, FNP-C is a family nurse practitioner in Canton, MS. MS. Jorri Shonte Davis, FNP-C NPI is 1942505706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

540 COWAN STREET
CANTON, MS
ZIP 39046
Phone: (516) 210-5600
Fax: (917) 254-4419

The NPI 1942505706 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/25/2011 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN739408	PENNSYLVANIA	No
2	163W00000X	Registered Nurse		61173059	WASHINGTON	No
3	163W00000X	Registered Nurse		RN95325319	CALIFORNIA	No
4	363L00000X	Nurse Practitioner		R870049	MISSISSIPPI	No
5	363LF0000X	Nurse Practitioner	Family	SP023870	PENNSYLVANIA	No
6	363LF0000X	Nurse Practitioner	Family	53-79830-021	KANSAS	No
7	363LF0000X	Nurse Practitioner	Family	11015877	FLORIDA	No
8	363LF0000X	Nurse Practitioner	Family	C-RXN.0001402-C-NP	COLORADO	No
9	363LF0000X	Nurse Practitioner	Family	0024180866	VIRGINIA	No
10	363LF0000X	Nurse Practitioner	Family	61173059	WASHINGTON	No
11	363LF0000X	Nurse Practitioner	Family	202211989NP-PP	OREGON	No
12	363LF0000X	Nurse Practitioner	Family	R870049	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00303529	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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