Davis, Lynnette A

Davis, Lynnette A is an individual health care provider with primary practice located at 2419 W Cornerstone Ct , Peoria IL 61614-2529. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Davis, Lynnette A can be contacted via phone (309) 692-2025.

Contact Information

Primary practice address
2419 W Cornerstone Ct Peoria IL 61614-2529
Phone: (309) 692-2025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209007712 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 209.007712 Illinois

Profile Details

NPI number 1225260920
LBN Legal business name Davis, Lynnette A
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2009
Last updated Apr 15th, 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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