Individual
MRS. KENISHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16266 PRINCE DR, SOUTH HOLLAND, IL 60473-3233
(708) 222-7333
(708) 221-0501
Mailing address
1393 BRANDYWINE RD # 1393, CROWN POINT, IN 46307-9307
(708) 655-1482
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.017812
IL
363LF0000X
Family Nurse Practitioner
251171
AZ
363LF0000X
Family Nurse Practitioner
277001991
IL
363LF0000X
Family Nurse Practitioner
71008626A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
251171
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
277001991
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71008626A
IN
Other
Enumeration date
06/23/2018
Last updated
01/31/2023
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