Wise, Shannon Davis

Wise, Shannon Davis is an individual health care provider with primary practice located at 730 Goodlette-Frank Rd N Ste 100 , Naples FL 34102-5617. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Wise, Shannon Davis can be contacted via phone (239) 351-2990.

Contact Information

Primary practice address
730 Goodlette-Frank Rd N Ste 100 Naples FL 34102-5617
Phone: (239) 351-2990
Fax: (239) 300-4128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME120329 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 16178 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME120329 Florida

Profile Details

NPI number 1891088910
LBN Legal business name Wise, Shannon Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2011
Last updated Mar 10th, 2021 - about 5 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 1891088910 NPPES
Florida MEDICAID 012206800
Florida Other HV151Y
Florida Other 14W2L

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