Individual provider · Type 1 NPI

Onetha Davis

Psychiatric/Mental Health Nurse Practitioner · Lincolnshire, IL

NPI number 1780246488 Active

Practice location

250 Parkway Dr Ste 150
Lincolnshire, IL 60069-4340

Mailing address

425 Springfield St
Park Forest, IL 60466-1052

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209019568 (IL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209019568 (IL)

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

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About NPI 1780246488

Onetha Davis's National Provider Identifier is 1780246488, issued on Jul 2, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lincolnshire, IL. The record was last updated on Aug 26, 2024.