LYNNETTE A DAVIS

PEORIA, IL
NPI1225260920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: IL  209007712)
Additional Taxonomies363LW0102X Nurse Practitioner, Women's Health
(Licence: IL  209.007712)
Enumeration Date2009-08-13
Last Update Date2024-09-09
Business Address
LYNNETTE A DAVIS APN
2419 W CORNERSTONE CT
PEORIA, IL 61614-2529
Phone number: 309-692-2025
Mailing Address
LYNNETTE A DAVIS APN
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541