Davis, Monique

Davis, Monique is an individual health care provider with primary practice located at 300 Red Bud Ln , Vienna IL 62995-1792. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Davis, Monique can be contacted via phone (618) 658-3079.

Contact Information

Primary practice address
300 Red Bud Ln Vienna IL 62995-1792
Phone: (618) 658-3079
Fax: (618) 658-2759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043123568 Illinois

Profile Details

NPI number 1164165783
LBN Legal business name Davis, Monique
Credentials BS, LPN, MHP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2022
Last updated Apr 20th, 2022 - about 2 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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