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Stacey Davis, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Oak Park, Illinois
NPI 1508454448

Stacey Davis is a Psychiatric/Mental Health Nurse Practitioner based in Calumet Park, IL and is specialized in Psychiatric/Mental Health. Stacey Davis practices in Oak Park, IL and has the professional credentials of PMHNP-BC. The NPI Number for Stacey Davis is 1508454448 and holds a License No. 209.022618 (Illinois).

The current practice location address for Stacey Davis is 1010 Lake St Ste 100, Oak Park, IL and can be reached out via phone at 708-790-5200.

Location: 1010 Lake St Ste 100, Oak Park, IL, 60827-6537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508454448
Provider Name
Stacey Davis
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1010 Lake St Ste 100, Oak Park, IL, 60827-6537
Phone Number
708-790-5200
Fax Number
Provider Enumeration Date
01/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1010 Lake St Ste 100
City
Oak Park
State
Illinois
Zip
60301-1106
Phone Number
708-790-5200
Fax Number
person
Provider Business Mailing Address Details
Address
1010 Lake St Ste 100
City
Oak Park
State
Illinois
Zip
60301-1106
Phone Number
708-790-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
209.022618 (Illinois)
Definition
Definition to come...
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