Individual provider · Type 1 NPI
Keona Chantel Davis
Family Nurse Practitioner · Hammond, IN
NPI number
1881290005
Active
Practice location
31 Sibley St Ste A31E
Hammond, IN 46320-1725
Fax (219) 802-8801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71010690A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1881290005
Keona Chantel Davis's National Provider Identifier is 1881290005, issued on Dec 11, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hammond, IN. The record was last updated on Apr 21, 2021.