Individual
MS. MICHELLE S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP
Contact information
Practice address
3900 ST FRANCIS WAY STE 200, LAFAYETTE, IN 47905-4940
(765) 775-2800
(765) 775-2831
Mailing address
PO BOX 153, CHANNAHON, IL 60410-0153
(630) 324-7900
(630) 324-7946
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71007546A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041254596
—
IL
Enumeration date
10/02/2006
Last updated
11/14/2023
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