| Kisha R Davis, | |
|
864 Harbor Woods Dr, Fairview Heights, IL 62208-2189 | |
| (314) 448-5033 | |
| Not Available |
| Full Name | Kisha R Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 864 Harbor Woods Dr, Fairview Heights, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770431058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 2026014984 (Missouri) | Primary |
| Entity Name | Chestnut Health of Illinois LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588043939 PECOS PAC ID: 2264747344 Enrollment ID: O20150819006369 |
| Mailing Address | Practice Location Address |
|---|---|
| Kisha R Davis, 864 Harbor Woods Dr, Fairview Heights, IL 62208-2189 Ph: (314) 448-5033 | Kisha R Davis, 864 Harbor Woods Dr, Fairview Heights, IL 62208-2189 Ph: (314) 448-5033 |
Alita Billops, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 Ryan Dr, Fairview Heights, IL 62208 Phone: 618-530-2378 |
Ms. Brittney Sue Voyda, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5031 N Illinois St Ste A, Fairview Heights, IL 62208 Phone: 618-619-2920 Fax: 888-906-2120 |
Mrs. Jennifer Glispie, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 605 Wild Horse Creek Dr, Fairview Heights, IL 62208 Phone: 618-240-0595 |
Ebele N Iloabachie, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Market Pl Ste 100, Fairview Heights, IL 62208 Phone: 618-398-4226 Fax: 618-398-1759 |
Glenn Agape Edillor Montero, MSN, ARN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Market Pl Ste 100, Fairview Heights, IL 62208 Phone: 618-398-4226 |
Mary Margaret Madras, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6505 N Illinois St, Fairview Heights, IL 62208 Phone: 314-687-2734 |
Ms. Laura Christine O'leary, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6505 N Illinois St, Fairview Heights, IL 62208 Phone: 314-687-2734 |