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NPI Code Detail

MEDICARE: SHANNON MARQUITA DAVIS RN

MEDICARE:   SHANNON MARQUITA DAVIS  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse224959AR
2163WA2000XAdministrator Registered Nurse224959AR

General Provider Information

NPI Number : 1558987248
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON MARQUITA DAVIS RN
Provider Business Mailing Address
First Line : 1313 N HILLS BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-3768
Country : US
Telephone Number : 501-448-6624
Fax Number :
Provider Business Practice Location Address
First Line : 1313 N HILLS BLVD STE 307
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-3757
Country : US
Telephone Number : 501-448-6624
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2020
Last Update Date : 05/11/2026

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Directions to “ SHANNON MARQUITA DAVIS RN” Practice Location

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