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Mr. Scott J Davis, NP-C
Nurse Practitioner in Sandwich, Illinois
NPI 1518269539

Scott J Davis is a Nurse Practitioner based in Sandwich, IL. Scott J Davis practices in Sandwich, IL and has the professional credentials of NP-C. The NPI Number for Scott J Davis is 1518269539 and holds a License No. 209.008413 (Illinois).

The current practice location address for Scott J Davis is 1310 N Main St Ste 200, Sandwich, IL and can be reached out via phone at 815-786-7150 and via fax at 815-786-3785.

Location: 1310 N Main St Ste 200, Sandwich, IL, 60548-1397
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518269539
Provider Name
Scott J Davis
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
1310 N Main St Ste 200, Sandwich, IL, 60548-1397
Phone Number
815-786-7150
Fax Number
815-786-3785
Provider Enumeration Date
11/23/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL6309 01 IL MEDICARE GROUP
F400101031 01 IL MEDICARE INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
1310 N Main St Ste 200
City
Sandwich
State
Illinois
Zip
60548-1397
Phone Number
815-786-7150
Fax Number
815-786-3785
person
Provider Business Mailing Address Details
Address
1310 N Main St Ste 200
City
Sandwich
State
Illinois
Zip
60548-1397
Phone Number
815-786-7150
Fax Number
815-786-3785
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209008413 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.008413 (Illinois)
Definition
Definition to come...
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