JAKE A DAVIS, PA-C, Surgical SHENANDOAH, IA

Contact Information

JAKE A DAVIS, PA-C

300 PERSHING AVVENUE
SHENANDOAH, IA 51601

Phone: 712-246-1230
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JAKE A DAVIS · (Male)

NPI #	`1710380795`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	10/03/2014
Last updated	01/28/2026 - About 4 months ago
Sole proprietor ¹	No
Identifiers	IA License # 074782
Hospital affiliation(s)	GREATER REGIONAL MEDICAL CENTER - (Critical Access) 1700 WEST TOWNLINE ROAD CRESTON, IA 50801

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JAKE A DAVIS, PA-C – NPI #1710380795Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for JAKE A DAVIS · (Male)

Reviews for JAKE A DAVIS

JAKE A DAVIS, PA-C – NPI #1710380795
Surgical