| Shannon Rose Davidson, NP | |
|
3000 Watercove Rd, Midlothian, VA 23112-3982 | |
| (804) 744-0200 | |
| (804) 744-8417 |
| Full Name | Shannon Rose Davidson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 3000 Watercove Rd, Midlothian, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053571562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024167546 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleanslate Medical Group Of Virginia Llc | 9133462294 | 6 |
| Entity Name | Cleanslate Medical Group Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629549779 PECOS PAC ID: 9133462294 Enrollment ID: O20190514000779 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Rose Davidson, NP 13332 Midlothian Tpke, Midlothian, VA 23113-4210 Ph: (804) 794-5598 | Shannon Rose Davidson, NP 3000 Watercove Rd, Midlothian, VA 23112-3982 Ph: (804) 744-0200 |
Jonathan Fielder, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Fox Chase Ln, Midlothian, VA 23112 Phone: 804-303-9622 Fax: 804-716-4318 | |
Rehana Sultana Kazi Glod, MSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14051 St Francis Blvd, Suite 1400, Midlothian, VA 23114 Phone: 804-325-8851 | |
Ms. Laurie Powell Burke, R.N., N.P., C.S. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 13506 East Boundary Road, Suite A, Midlothian, VA 23112 Phone: 804-744-6714 Fax: 804-744-1265 | |
Mrs. Amanda Kearse Miller, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1407 Huguenot Rd, Midlothian, VA 23113 Phone: 804-794-2299 Fax: 804-794-5774 | |
Kaitlin J Delgado, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13572 Waterford Place, Midlothian, VA 23112 Phone: 804-560-8782 Fax: 804-525-2525 | |
Mrs. Wendy Jean Hendrick, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13800 Hull Street Rd, Midlothian, VA 23112 Phone: 866-389-2727 | |
Mrs. Dana Allen Kleinschuster, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5595 Harbour Park Dr, Midlothian, VA 23112 Phone: 804-744-4495 Fax: 804-744-0751 |