Individual
DR. CYNTHIA SUE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP FNP-BC
Contact information
Practice address
207 W JACKSON ST STE 101, CARBONDALE, IL 62901-1408
(618) 457-6787
(618) 351-4804
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277002721
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209021488
APN LICENSE
IL
Enumeration date
07/29/2020
Last updated
09/10/2024
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