Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nita Viann Randolph Davison

Individual provider Community Health Worker · NPI 1174934921

Nita Viann Randolph Davison is a Community Health Worker in Petersburg, Virginia. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

1889 S Sycamore St
Petersburg, VA 23805-2730
Phone: (804) 605-9845
Fax: (804) 895-7853
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1174934921
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2014
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023

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