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

Anetra Davis, AANP

Individual provider Registered Nurse · NPI 1114650850

Anetra Davis, AANP is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2022, 4 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
4
Licensed in
LA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 227422 (LA)
Registered Nurse Taxonomy 163W00000X · Licence RN147909 (LA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 227422 (LA)

Record details

NPI number1114650850
Entity typeIndividual (Type 1)
GenderFemale
Credentials AANP
Sole proprietorNo
NPI enumeratedJuly 8, 2022
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport