Individual provider · Type 1 NPI

Kimberly Dawn Davis, FNP

Nurse Practitioner · Belleville, IL

NPI number 1881433233 Active

Practice location

4550 Memorial Dr Ste 280
Belleville, IL 62226-5372

Fax (618) 234-6156

Mailing address

PO Box 959203
St. Louis, MO 63195-9203

Other practice locations

  • 291 E 2nd St, Beckemeyer, IL 62219-4202 · (618) 484-9030

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X209.029711 (IL)
Nurse Practitioner Primary 363L00000X209029711 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1881433233

Kimberly Dawn Davis, FNP's National Provider Identifier is 1881433233, issued on May 23, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Belleville, IL. The record was last updated on Sep 21, 2026.