Individual
MRS. DEBORAH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
250 SMALL ST, HARRISBURG, IL 62946-3319
(618) 294-8264
(618) 294-8265
Mailing address
1201 PINE ST, ELDORADO, IL 62930-1634
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.002050
IL
363LW0102X
Women's Health Nurse Practitioner
209002050
IL
Other
Enumeration date
02/07/2007
Last updated
03/26/2026
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