Individual provider · Type 1 NPI

Stacey Davis, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Oak Park, IL

NPI number 1508454448 Active

Practice location

1010 Lake St Ste 100
Oak Park, IL 60301-1106

Call (708) 790-5200 Map

Mailing address

1137 W 127th St
Calumet Park, IL 60827-6537

Other practice locations

  • 1137 W 127th St, Calumet Park, IL 60827-6537 · (708) 620-7807

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209.022618 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1508454448

Stacey Davis, PMHNP-BC's National Provider Identifier is 1508454448, issued on Jan 6, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Oak Park, IL. The record was last updated on Mar 12, 2021.