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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 months 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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