Provider Demographics
NPI:1851190383
Name:DAVIS, TYNISHA SHEREE (MPH)
Entity type:Individual
Prefix:
First Name:TYNISHA
Middle Name:SHEREE
Last Name:DAVIS
Suffix:
Gender:
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:952 TAYLOR DR
Mailing Address - Street 2:
Mailing Address - City:FOLCROFT
Mailing Address - State:PA
Mailing Address - Zip Code:19032-1524
Mailing Address - Country:US
Mailing Address - Phone:215-290-0969
Mailing Address - Fax:
Practice Address - Street 1:952 TAYLOR DR
Practice Address - Street 2:
Practice Address - City:FOLCROFT
Practice Address - State:PA
Practice Address - Zip Code:19032-1524
Practice Address - Country:US
Practice Address - Phone:215-290-0969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula