Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Marie Davis, AGACNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1700401908

Amanda Marie Davis, AGACNP-BC is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2020, 6 years ago. Practices with Wk Red River Cardiovascular Surgeons, a 7-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

2751 Albert L Bicknell Dr Ste 5C
Shreveport, LA 71103-3943
Phone: (318) 227-9777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 213735 (LA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 213735 (LA)
Nurse Practitioner Taxonomy 363L00000X · Licence 213735 (LA)

Record details

NPI number1700401908
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedJune 12, 2020
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wk Red River Cardiovascular Surgeons — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport