Davis, Brooke
Davis, Brooke is an individual health care provider with primary practice located at 1302 Franklin Ave Suite 4800, Normal IL 61761-3551. 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, Brooke can be contacted via phone (309) 454-5900.Contact Information
Primary practice address
1302 Franklin Ave Suite 4800
Normal IL 61761-3551
Phone: (309) 454-5900
Fax: (309) 454-2820
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209014769 | Illinois |
Profile Details
NPI number | 1235686759 |
---|---|
LBN Legal business name | Davis, Brooke |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 1st, 2016 |
Last updated | May 8th, 2017 - about 8 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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