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Monique Davis, BS,LPN,MHP
Licensed Practical Nurse in Vienna, Illinois
NPI 1164165783

Monique Davis is a Licensed Practical Nurse based in Vienna, IL. Monique Davis practices in Vienna, IL and has the professional credentials of BS,LPN,MHP. The NPI Number for Monique Davis is 1164165783 and holds a License No. (Illinois).

The current practice location address for Monique Davis is 300 Red Bud Ln, Vienna, IL and can be reached out via phone at 618-658-3079 and via fax at 618-658-2759.

Location: 300 Red Bud Ln, Vienna, IL, 62995-1792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164165783
Provider Name
Monique Davis
Credential
BS,LPN,MHP
Provider Entity Type
Individual
Gender
Female
Address
300 Red Bud Ln, Vienna, IL, 62995-1792
Phone Number
618-658-3079
Fax Number
618-658-2759
Provider Enumeration Date
04/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Red Bud Ln
City
Vienna
State
Illinois
Zip
62995-1792
Phone Number
618-658-3079
Fax Number
618-658-2759
person
Provider Business Mailing Address Details
Address
300 Red Bud Ln
City
Vienna
State
Illinois
Zip
62995-1792
Phone Number
618-658-3079
Fax Number
618-658-2759
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
043123568 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
()
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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