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

Shaka-Con Davis

Individual provider Prevention Professional · NPI 1043997968

Shaka-Con Davis is a Prevention Professional in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

1909 J N Pease Pl Ste 104
Charlotte, NC 28262-4561
Phone: (980) 224-8078
Show map & directions

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

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 1111111111111 (NC)

Record details

NPI number1043997968
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJuly 1, 2023
Mailing address1909 J N Pease Pl Ste 104, Charlotte, NC 28262-4561

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