Davis Nursing Association

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

658 Issued in AR

Legal business name

DAVIS NURSING ASSOCIATION

Practice address

6810 S Hazel St
Pine Bluff, AR 71603-7828

Phone

(870) 541-0342

Fax

(870) 850-7967

NPI assigned

Oct 11, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael T Shepard

Title

Executive Director

Phone

(870) 541-0342

Specialties & licenses 1

Addresses

Other names 1

• Davis Life Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316935588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037828",
            "telephone_number": "870-541-0342",
            "fax_number": "870-850-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037828",
            "telephone_number": "870-541-0342",
            "fax_number": "870-850-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS NURSING ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-541-0342"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Life Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Daniel, PHARM D
• Edward A Darnel, D.C.
• David Ashley MD DMD Oral Surgery Group, a Professional Dental Corp
• David C Jacks MD PA
• David T.Nixon MD PA
• Brionna Davis
• Debra Venola Davis, FNP-BC
• John Philip McKenzie Davis, DDS
• Lakita Davis
• Patricia A Davis, LCSW

• Skilled Nursing Facility in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.