Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Davis Sr.

Individual provider Registered Nurse · NPI 1396174751

John Davis Sr. is a Registered Nurse in O Fallon, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2013.

Licensed in
IL, MO
In the registry since
2013
Specialties on file
2

Practice location Address checks out

339 Kings Ridge Blvd
O Fallon, IL 62269-6327
Phone: (618) 624-2969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 041341411 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 2004009573 (MO)

Record details

NPI number1396174751
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 6, 2013
Last updated in NPPESNovember 6, 2013
Mailing address339 Kings Ridge Blvd, O Fallon, IL 62269-6327

Other providers in O Fallon