IndividualActive
Anetra Davis, AANP
NPI 1114650850 · Nurse Practitioner · Shreveport, LA
Provider details
- NPI number
- 1114650850
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AANP
- Sex
- Female
- Sole proprietor
- No
- License
- RN147909 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Approximate (ZIP-level) locationGet directions
Mailing address
1512 W Kirby Pl
Shreveport, LA 71103-3822
Registry dates
- Enumerated
- 2022-07-08
- Last updated
- 2023-01-06
- Certified
- 2023-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.