IndividualActive
Amanda Davis, AGACNP-BC
NPI 1700401908 · Acute Care Nurse Practitioner · Shreveport, LA
Provider details
- NPI number
- 1700401908
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 213735 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2751 Albert L Bicknell Dr Ste 5c
Shreveport, LA 71103-3943
Phone: (318) 227-9777
Approximate (ZIP-level) locationGet directions
Mailing address
2751 Albert L Bicknell Dr Ste 5c
Shreveport, LA 71103-3943
Registry dates
- Enumerated
- 2020-06-12
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.