| Ms Heather Dawn Davis, APRN,FNP-C | |
|
1000 N Main St, Anna, IL 62906-1652 | |
| (618) 833-5161 | |
| (618) 833-9034 |
| Full Name | Ms Heather Dawn Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1000 N Main St, Anna, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053880781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209018023 (Illinois) | Primary |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Heather Dawn Davis, APRN,FNP-C 1000 N Main St, Anna, IL 62906-1652 Ph: (618) 833-5161 | Ms Heather Dawn Davis, APRN,FNP-C 1000 N Main St, Anna, IL 62906-1652 Ph: (618) 833-5161 |
Keith Samuel Bass, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 | |
Cristen Mae Mckibben, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 98 Peach Ridge Rd, Anna, IL 62906 Phone: 618-614-1400 Fax: 618-614-1401 | |
Jessica Elizabeth Wills, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 Fax: 618-833-6267 | |
Ms. Erica Vining, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 Fax: 618-833-6267 | |
Adam Brock Goforth, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 | |
Rebecca L Pind, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 N Main St, Anna, IL 62906 Phone: 618-833-2295 Fax: 618-833-9058 |