Ms Crystal Monique Davis, PMHNP-BC | |
400 S Kennedy Dr Ste 300, Bradley, IL 60915-2682 | |
(815) 937-1237 | |
Not Available |
Full Name | Ms Crystal Monique Davis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 400 S Kennedy Dr Ste 300, Bradley, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528780392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209025953 (Illinois) | Primary |
Entity Name | Riverside Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
Entity Name | The Thresholds |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669488029 PECOS PAC ID: 6204826647 Enrollment ID: O20040517000766 |
Mailing Address | Practice Location Address |
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Ms Crystal Monique Davis, PMHNP-BC Po Box 1118, Bourbonnais, IL 60914-7118 Ph: () - | Ms Crystal Monique Davis, PMHNP-BC 400 S Kennedy Dr Ste 300, Bradley, IL 60915-2682 Ph: (815) 937-1237 |
Jenna Nicole Sarna, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 700, Bradley, IL 60915 Phone: 815-935-7532 Fax: 815-935-7495 | |
Tara Lynn Barnes-cherry, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 300, Bradley, IL 60915 Phone: 815-935-7532 | |
Mrs. Lori A Cornelius, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 990 N Kinzie Ave, Bradley, IL 60915 Phone: 815-933-2589 Fax: 815-634-5253 | |
Ms. Kathryn Margaret Marie Inczaukskis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 700, Bradley, IL 60915 Phone: 815-935-7532 Fax: 815-935-7495 | |
Melissa Ewert Ortega, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 990 N Kinzie Ave, Bradley, IL 60915 Phone: 815-935-7256 | |
Ms. Isabel Nicole Montoya, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 S Kennedy Dr Ste 300, Bradley, IL 60915 Phone: 815-935-7532 |