Provider Demographics
NPI:1306727128
Name:DAVIS, DEBBIE JEAN (RN)
Entity type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:JEAN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SWAINSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30401-3105
Mailing Address - Country:US
Mailing Address - Phone:478-237-6567
Mailing Address - Fax:478-237-6568
Practice Address - Street 1:414 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SWAINSBORO
Practice Address - State:GA
Practice Address - Zip Code:30401-3105
Practice Address - Country:US
Practice Address - Phone:478-237-6567
Practice Address - Fax:478-237-6568
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCH006780310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility