Shondreika Tenae Davis, NP | |
316 Wood Spgs, Haughton, LA 71037-7705 | |
(318) 730-3888 | |
Not Available |
Full Name | Shondreika Tenae Davis |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 316 Wood Spgs, Haughton, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1609556661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 231770 (Louisiana) | Primary |
Entity Name | Primary Health Services Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104384205 PECOS PAC ID: 2062300858 Enrollment ID: O20051110000010 |
Mailing Address | Practice Location Address |
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Shondreika Tenae Davis, NP 316 Wood Spgs, Haughton, LA 71037-7705 Ph: (318) 730-3888 | Shondreika Tenae Davis, NP 316 Wood Spgs, Haughton, LA 71037-7705 Ph: (318) 730-3888 |
Cassanda Howell Maxwell, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 Highway 80, Haughton, LA 71037 Phone: 318-949-0539 Fax: 318-949-0759 | |
Mr. Donald Glyn Gardner Ii, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 324 Blue Fox Cir, Haughton, LA 71037 Phone: 318-401-6258 | |
Andreka Winston, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 170 Health Care Drive, Haughton, LA 71037 Phone: 318-706-0022 |