Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Passionate Shinese Davis, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1801652888

Passionate Shinese Davis, PMHNP-BC is a Nurse Practitioner in Cookeville, Tennessee. Qualified in 2021, 5 years ago. Practices with Personal Development Center, Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

509 N Cedar Ave
Cookeville, TN 38501-1707
Phone: (931) 520-8435
Fax: (931) 372-7225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 30367 (TN)

Record details

NPI number1801652888
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Personal Development Center, Inc. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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