Shelley Renee Davis

Individual provider Active NPI Licensed Practical Nurse · Sheridan, AR

NPI 1205758604 · NPPES record last updated Jul 28, 2026

Key facts

NPI
1205758604
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
L038332 (AR)
Practice address
707 Ridge Dr
Sheridan, AR 72150-7778
Phone
(870) 942-3131
Fax
(870) 942-7477
NPI assigned
Jul 28, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L038332 AR Yes

Addresses

Primary practice location

707 Ridge Dr
Sheridan, AR 72150-7778

Mailing address

707 Ridge Dr
Sheridan, AR 72150-7778
Phone (870) 942-3131

Other providers in Sheridan, AR

All providers in Sheridan, AR · Licensed Practical Nurse in Arkansas

Sources for this page

Verify at the official NPI Registry.