Individual provider · Type 1 NPI

Shawnta Monique Davidson, LPN

Licensed Practical Nurse · Massillon, OH

NPI number 1043712284 Active

Practice location

3545 Lincoln Way E
Massillon, OH 44646-8624

Fax (866) 460-2997

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.135217.MEDS-IV (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.196140 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1043712284

Shawnta Monique Davidson, LPN's National Provider Identifier is 1043712284, issued on Mar 4, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Massillon, OH. The record was last updated on Sep 1, 2026.