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Alicia Davis
Family Nurse Practitioner in Mount Vernon, Illinois
NPI 1437506722

Alicia Davis is a Family Nurse Practitioner based in Mount Vernon, IL and is specialized in Family. Alicia Davis practices in Mount Vernon, IL. The NPI Number for Alicia Davis is 1437506722 and holds a License No. (Illinois).

The current practice location address for Alicia Davis is 2 Good Samaritan Way, Mount Vernon, IL and can be reached out via phone at 618-899-3869.

Location: 2 Good Samaritan Way, Mount Vernon, IL, 62864-2408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437506722
Provider Name
Alicia Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
2 Good Samaritan Way, Mount Vernon, IL, 62864-2408
Phone Number
618-899-3869
Fax Number
Provider Enumeration Date
05/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2 Good Samaritan Way
City
Mount Vernon
State
Illinois
Zip
62864-2408
Phone Number
618-899-3869
Fax Number
person
Provider Business Mailing Address Details
Address
2 Good Samaritan Way
City
Mount Vernon
State
Illinois
Zip
62864-2408
Phone Number
618-899-3869
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209014455 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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