Individual
JAKE A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 PERSHING AVVENUE, SHENANDOAH, IA 51601
(712) 246-1230
Mailing address
300 PERSHING AVVENUE, SHENANDOAH, IA 51601
(712) 246-7101
(712) 218-7670
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
074782
IA
Other
Enumeration date
10/03/2014
Last updated
01/28/2026
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