Individual
ANGELIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Mailing address
3834 STONEGATE RD, QUINCY, IL 62305-8934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.026379
IL
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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