Alicia Davis
Alicia Davis is a Nurse Practitioner in Mount Vernon, Illinois. Qualified in 2016, 10 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 10
- Licensed in
- IL
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
2 Good Samaritan WayMount Vernon, IL 62864-2408
Phone: (618) 899-3869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209014455 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1437506722 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 17, 2016 |
| Last updated in NPPES | February 3, 2021 |
| Certification date | February 3, 2021 |
| Mailing address | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Physician Services Corporation Of Southern Illinois Inc — 122 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mount Vernon
-
Allison Baldwin
1 Good Samaritan Way, Mount Vernon, IL 62864-2402 · (618) 899-4600
-
Nicholas Antonio Burke
1 Good Samaritan Way, Mount Vernon, IL 62864-2402 · (618) 242-4600
-
Justin Kim
1 Good Samaritan Way, Mount Vernon, IL 62864-2402 · (618) 899-4600
-
Dr. Qing Kevin Luo, MD
1 Good Samaritan Way, Mount Vernon, IL 62864-2402 · (618) 242-4600
-
Madeline Carey Olson
2900 Broadway St, Mount Vernon, IL 62864-2341 · (618) 244-2777
-
Myles Robison
1 Good Samaritan Way, Mount Vernon, IL 62864-2402 · (618) 899-4600