Organization
DAVIS FAMILY HEALTH LLC
Active
Other names
Davis Family Health LLC/Kelly Ann Tonielli Davis
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY ANN TONIELLI DAVIS DNP APRN FNP-BC (PROVIDER/OWNER FULL PRACTICE AUTHOR)
(815) 538-1800
Entity
Organization
Contact information
Practice address
1201 MERIDEN ST, MENDOTA, IL 61342-2501
(815) 538-1800
(815) 538-4881
Mailing address
1201 MERIDEN ST, MENDOTA, IL 61342-2501
(815) 538-1800
(815) 538-4881
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225553803
NPI
IL
Enumeration date
11/12/2018
Last updated
01/06/2026
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