Lynnette A Davis, APN | |
2709 Broadway St, Pekin, IL 61554-2676 | |
(309) 353-3330 | |
(309) 353-3334 |
Full Name | Lynnette A Davis |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 2709 Broadway St, Pekin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225260920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 209.007712 (Illinois) | Primary |
Entity Name | Springfield Clinic Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Entity Name | Teverbaugh Croland & Mueller Ob/gyn & Associates, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720031602 PECOS PAC ID: 2163409996 Enrollment ID: O20040630000625 |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
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Lynnette A Davis, APN 2709 Broadway St, Pekin, IL 61554-2676 Ph: (309) 353-3330 | Lynnette A Davis, APN 2709 Broadway St, Pekin, IL 61554-2676 Ph: (309) 353-3330 |
Emily Crebo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Park Ave, Pekin, IL 61554 Phone: 309-346-7776 | |
Kayla Ferman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3591 Griffin Ave, Pekin, IL 61554 Phone: 309-353-1822 | |
Madeline Jo Gresham, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 Olt Ave, Pekin, IL 61554 Phone: 309-680-7600 Fax: 309-353-3334 | |
Jami Michelle Wallace, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3591 Griffin Ave, Pekin, IL 61554 Phone: 309-353-6301 | |
Shauna L Bivens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Griffin Ave., Pekin, IL 61554 Phone: 309-347-4277 Fax: 309-347-4388 | |
Theresa Abbadusky, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Broadway St, Pekin, IL 61554 Phone: 309-346-3416 |