Individual
MRS. ELIZABETH JANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
130 W 7TH ST, MOUNT CARMEL, IL 62863-1439
(618) 263-3873
(618) 262-4215
Mailing address
822 N MULBERRY ST, MOUNT CARMEL, IL 62863-2023
(618) 263-3873
(618) 262-4215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041290730
IL
163W00000X
Registered Nurse
28186220A
IN
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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