Most Relevant Information
Provider Data
| NPI Number: | 1003374158 |
| Provider Name: | SHAWNA DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/07/2019 |
| Last Updated: | 03/07/2019 |
Provider Practice Location
1215 JACKSON WAY SW
JACKSONVILLE
AL
362654306
Practice Location Phone/Fax
| Phone: | 2562395662 |
| Fax: |
Provider Mailing Location
PO BOX 1162
JACKSONVILLE
AL
362655162
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |