Shannon Elizabeth Davis
Licensed Vocational Nurse in Ridgecrest, CA. Individual provider (NPI-1).
NPI number1417784356
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1417784356
- Entity type
- Individual (NPI-1)
- Name
- Shannon Elizabeth Davis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2024
- Certification date
- Sep 16, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 730716 | CA | Yes |
Practice location
1111 W Inyokern Rd Ste BRidgecrest, CA 93555-2370
Phone 760-382-7390
Mailing address
1111 W Inyokern Rd Ste BRidgecrest, CA 93555-2370
Phone 760-382-7390
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