Individual provider · Type 1 NPI

Anetra Davis, AANP

Nurse Practitioner · Shreveport, LA

NPI number 1114650850 Active

Practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1512 W Kirby Pl
Shreveport, LA 71103-3822

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN147909 (LA)
Family Nurse Practitioner 363LF0000X227422 (LA)
Nurse Practitioner Primary 363L00000X227422 (LA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114650850

Anetra Davis, AANP's National Provider Identifier is 1114650850, issued on Jul 8, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shreveport, LA. The record was last updated on Jan 6, 2023.