Provider Demographics
NPI:1972839017
Name:DAVIS, RASHEEDA NIKIA
Entity Type:Individual
Prefix:MS
First Name:RASHEEDA
Middle Name:NIKIA
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3152 BAYLOR CIR
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-6159
Mailing Address - Country:US
Mailing Address - Phone:440-836-4480
Mailing Address - Fax:
Practice Address - Street 1:3427 HARTWOOD RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44112-3029
Practice Address - Country:US
Practice Address - Phone:330-312-3101
Practice Address - Fax:216-938-9370
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-24
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400051381101376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide