Davis, Sarah J

Davis, Sarah J is an individual health care provider with primary practice located at 2 Memorial Dr Ste 220 , Alton IL 62002-6723. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Davis, Sarah J can be contacted via phone (618) 474-1723.

Contact Information

Primary practice address
2 Memorial Dr Ste 220 Alton IL 62002-6723
Phone: (618) 474-1723
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209016701 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209016701 Illinois

Profile Details

NPI number 1457911810
LBN Legal business name Davis, Sarah J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2019
Last updated Dec 5th, 2022 - about 4 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457911810 NPPES
Illinois MEDICAID 900068033-62269-01

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