Individual
SHANNON LEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1108 W MAIN ST, COLLINSVILLE, OK 74021-3113
(580) 819-2606
Mailing address
1108 W MAIN ST, COLLINSVILLE, OK 74021-3113
(580) 819-2606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101550
OK
Other
Enumeration date
03/02/2020
Last updated
05/02/2025
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