Kisha R Davis
Kisha R Davis is a Nurse Practitioner in Fairview Heights, Illinois. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Missouri.
- Years since qualifying
- 1
- Licensed in
- MO
- In the registry since
- 2026
Practice location Address checks out
864 Harbor Woods DrFairview Heights, IL 62208-2189
Phone: (314) 448-5033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 2026014984 (MO) |
|---|
Record details
| NPI number | 1770431058 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 20, 2026 |
| Last updated in NPPES | April 6, 2026 |
| Certification date | April 6, 2026 |
| Mailing address | 864 Harbor Woods Dr, Fairview Heights, IL 62208-2189 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Fairview Heights
-
Brittany Jarvis, CNP
821 Saybrook Falls Dr, Fairview Heights, IL 62208-2168 · (618) 567-0699