IndividualActive
Jake Davis, PA-C
NPI 1710380795 · Surgical Physician Assistant · Shenandoah, IA
Provider details
- NPI number
- 1710380795
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 074782 (IA)
Mailing address
300 Pershing Avvenue
Shenandoah, IA 51601
Registry dates
- Enumerated
- 2014-10-03
- Last updated
- 2026-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.