ONETHA DAVIS NPI 1780246488

NPI Information

NPI: 1780246488
Provider Name: ONETHA DAVIS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
300 REPUBLIC AVE
JOLIET, IL
ZIP 60435
Phone: (708) 228-1663
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Onetha Davis is a psychiatric/mental health nurse practitioner in Joliet, IL. Onetha Davis NPI is 1780246488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 REPUBLIC AVE
JOLIET, IL
ZIP 60435-520
Phone: (708) 228-1663

The NPI 1780246488 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/2/2019 and was last updated on 5/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		209019568	ILLINOIS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209019568	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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