Individual
SHANNON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
750 BRIDGES AVE E, SUITE A, WYNNE, AR 72396-2327
(870) 208-8362
(870) 208-8384
Mailing address
750 BRIDGES AVE E, SUITE A, WYNNE, AR 72396-2327
(870) 208-8362
(870) 208-8384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R65376
AR
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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