Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy P Davis, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1386997351

Jeremy P Davis, ACNP-BC is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2012, 14 years ago. Practices with Gastrointestinal Specialists Amc, a 33-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
14
Licensed in
LA
In the registry since
2012
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Practice location Address checks out

3217 Mabel St
Shreveport, LA 71103-4022
Phone: (318) 631-9121
Fax: (318) 631-9126
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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 AP07028 (LA)

Record details

NPI number1386997351
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedOctober 16, 2012
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Gastrointestinal Specialists Amc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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