Davis, Heather Dawn

Davis, Heather Dawn is an individual health care provider with primary practice located at 4119 S Water Tower Pl Ste A , Mount Vernon IL 62864-6293. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Davis, Heather Dawn can be contacted via phone (618) 816-6006.

Contact Information

Primary practice address
4119 S Water Tower Pl Ste A Mount Vernon IL 62864-6293
Phone: (618) 816-6006
Fax: (618) 816-6005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209018023 Illinois

Profile Details

NPI number 1053880781
LBN Legal business name Davis, Heather Dawn
Credentials APRN,FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2018
Last updated Apr 17th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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