Individual
SHENANDOAH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1615 MCALLEN ST, HENDERSON, TX 75654-4273
(903) 658-6398
Mailing address
1615 MCALLEN ST, HENDERSON, TX 75654-4273
(903) 658-6398
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1152445
TX
363LG0600X
Gerontology Nurse Practitioner
1152445
TX
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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