Davis, Shannon Rea
Davis, Shannon Rea is an individual health care provider with primary practice located at 17051 Mercy Dr Ste 204 , Eagle River AK 99577-7630. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Davis, Shannon Rea can be contacted via phone (907) 696-0096.Contact Information
Primary practice address
17051 Mercy Dr Ste 204
Eagle River AK 99577-7630
Phone: (907) 696-0096
Fax: (949) 577-4808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 148870 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 21452 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61119130 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 243410 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 233985 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 202105062NPPP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 148870 | Alaska |
Profile Details
| NPI number | 1508261702 |
|---|---|
| LBN Legal business name | Davis, Shannon Rea |
| Credentials | NP-C , PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2014 |
| Last updated | Mar 2nd, 2024 - about 2 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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