Individual
AMANDA MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2751 ALBERT L BICKNELL DR STE 5C, SHREVEPORT, LA 71103-3943
(318) 227-9777
Mailing address
2751 ALBERT L BICKNELL DR STE 5C, SHREVEPORT, LA 71103-3943
(318) 227-9777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
213735
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
213735
LA
363LA2200X
Adult Health Nurse Practitioner
213735
LA
Other
Enumeration date
06/12/2020
Last updated
04/14/2025
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