Individual
JANEL M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
108 BITTERSWEET AVE, GERMANTOWN HILLS, IL 61548-8650
(309) 635-0504
Mailing address
2419 W CORNERSTONE CT, PEORIA, IL 61614-2529
(309) 692-2025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022812
IL
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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