Organization
SHANNON G. DAVIS, APRN-CNP FAMILY, P.L.L.C
Active
Other names
The Yale Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON GALE DAVIS APRN-CNP (FAMILY NURSE PRACTITIONER)
(405) 414-1441
Entity
Organization
Contact information
Practice address
3414 NW 135TH ST, OKLAHOMA CITY, OK 73120-4009
(405) 414-1441
Mailing address
3414 NW 135TH ST, OKLAHOMA CITY, OK 73120-4009
(405) 749-0900
(405) 749-0913
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R69234
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200437870A
—
OK
Enumeration date
09/25/2013
Last updated
02/18/2020
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