Heather Nicolle Davis, LPN

Individual provider Active NPI Licensed Practical Nurse · Walker, WV

NPI 1902736655 · NPPES record last updated May 22, 2026

Key facts

NPI
1902736655
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
35122 (WV)
Practice address
47 Chambers Circle Rd
Walker, WV 26180-3585
Phone
(304) 305-0257
Fax
(304) 250-1739
NPI assigned
May 22, 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

State licenses

LicenseStateTypeSpecialty
35122WVMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 35122 WV Yes

Addresses

Primary practice location

47 Chambers Circle Rd
Walker, WV 26180-3585

Mailing address

47 Chambers Circle Rd
Walker, WV 26180-3585
Phone (304) 305-0257

Other providers in Walker, WV

All providers in Walker, WV · Licensed Practical Nurse in West Virginia

Sources for this page

Verify at the official NPI Registry.