Individual provider · Type 1 NPI

Davis Shannon, MSW

Student in an Organized Health Care Education/Training Program · Bloomington, IL

NPI number 1265985170 Active

Practice location

702 W Chestnut St
Bloomington, IL 61701-2814

Call (217) 649-5765 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

37 other providers at this address

Other student in an organized health care education/training program providers in Bloomington

See all in Bloomington →

About NPI 1265985170

Davis Shannon, MSW's National Provider Identifier is 1265985170, issued on Jul 27, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bloomington, IL. The record was last updated on Apr 17, 2026.