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MRS. SHANA MONIQUE DAVIS PMHNP-BC NPI 1326356635


NPI Information

NPI: 1326356635
Provider Name: MRS. SHANA MONIQUE DAVIS, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-4300
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MRS. Shana Monique Davis, PMHNP-BC is a psychiatric/mental health nurse practitioner in Columbia, SC with 4 years of experience. MRS. Shana Monique Davis, PMHNP-BC NPI is 1326356635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC
ZIP 29203-863
Phone: (803) 434-4300
Fax: (803) 434-4351

The NPI 1326356635 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2010 and was last updated on 7/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental Health5004842NORTH CAROLINANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health26066SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17004995MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.