Davis, Shana Monique

Davis, Shana Monique is an sole proprietor health care provider with primary practice located at 11 Richland Medical Park Dr , Columbia SC 29203-6863. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Davis, Shana Monique can be contacted via phone (803) 434-4300.

Contact Information

Primary practice address
11 Richland Medical Park Dr Columbia SC 29203-6863
Phone: (803) 434-4300
Fax: (803) 434-4351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5004842 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26066 South Carolina

Profile Details

NPI number 1326356635
LBN Legal business name Davis, Shana Monique
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2010
Last updated Jul 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326356635 NPPES
North Carolina MEDICAID 7004995

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