# SHANNON REA DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508261702
- **Gender:** F
- **Credential:** NP-C , PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 21452 | TN | — |
| 363LF0000X | Family Nurse Practitioner | 148870 | AK | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 148870 | AK | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 202105062NPPP | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 233985 | MT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 243410 | AZ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP61119130 | WA | — |

## Other

- **Enumeration date:** 10/30/2014
- **Last updated:** 03/02/2024