Individual
JASMINE SHAREE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 JAN LN, DE SOTO, IL 62924-0059
(618) 645-1211
Mailing address
90 JAN LN, DE SOTO, IL 62924-0059
(618) 645-1211
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209033596
IL
Other
Enumeration date
10/29/2025
Last updated
03/27/2026
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