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

Shirley J Davis, NP

Individual provider Registered Nurse · NPI 1104390285

Shirley J Davis, NP is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2018, 8 years ago. Practices with Wps Providers Inc, a 83-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2202 N John B Dennis Hwy Ste 100
Kingsport, TN 37660-5904
Phone: (423) 578-8500
Fax: (423) 578-8569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 Judge Gresham Rd Ste A, Gray, TN 37615-6213 — (423) 467-3000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 25089 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 154824 (TN)

Record details

NPI number1104390285
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 11, 2019
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wps Providers Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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