person
Mrs. Kenisha Davis, APRN
Family Nurse Practitioner in South Holland, Illinois
NPI 1033604954

Kenisha Davis is a Family Nurse Practitioner based in Crown Point, IL and is specialized in Family. Kenisha Davis practices in South Holland, IL and has the professional credentials of APRN. The NPI Number for Kenisha Davis is 1033604954 and holds a License No. 277001991 (Illinois).

The current practice location address for Kenisha Davis is 16266 Prince Dr, South Holland, IL and can be reached out via phone at 708-222-7333 and via fax at 708-221-0501.

Location: 16266 Prince Dr, South Holland, IL, 46307-9307
person
Provider Profile Details
NPI Number
1033604954
Provider Name
Kenisha Davis
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
16266 Prince Dr, South Holland, IL, 46307-9307
Phone Number
708-222-7333
Fax Number
708-221-0501
Provider Enumeration Date
06/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16266 Prince Dr
City
State
Zip
60473-3233
Phone Number
708-222-7333
Fax Number
708-221-0501
person
Provider Business Mailing Address Details
Address
16266 Prince Dr
City
State
Zip
60473-3233
Phone Number
708-222-7333
Fax Number
708-221-0501
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71008626A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
277001991 (Illinois)
Definition
Definition to come...
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