| Shondreika Tenae Davis, NP | |
|
316 Wood Spgs, Haughton, LA 71037-7705 | |
| (318) 730-3888 | |
| Not Available |
| Full Name | Shondreika Tenae Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 316 Wood Spgs, Haughton, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609556661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 231770 (Louisiana) | Primary |
| Entity Name | Primary Health Services Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043315286 PECOS PAC ID: 2062300858 Enrollment ID: O20051110000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Shondreika Tenae Davis, NP 316 Wood Spgs, Haughton, LA 71037-7705 Ph: (318) 730-3888 | Shondreika Tenae Davis, NP 316 Wood Spgs, Haughton, LA 71037-7705 Ph: (318) 730-3888 |
Amanda Lea Faith, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Fox Nest Cir, Haughton, LA 71037 Phone: 318-455-1847 | |
Cassanda Howell Maxwell, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 Highway 80, Haughton, LA 71037 Phone: 318-949-0539 Fax: 318-949-0759 | |
Andreka Winston, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 170 Health Care Drive, Haughton, LA 71037 Phone: 318-706-0022 |