Individual provider · Type 1 NPI
Jake A. Davis, PA-C
Surgical Physician Assistant · Shenandoah, IA
NPI number
1710380795
Active
Practice location
300 Pershing Avvenue
Shenandoah, IA 51601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 074782 (IA) |
Surgical Physician Assistant: Definition to come...
About NPI 1710380795
Jake A. Davis, PA-C's National Provider Identifier is 1710380795, issued on Oct 3, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Shenandoah, IA. The record was last updated on Jan 28, 2026.