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

Mrs. Kenisha Davis, APRN

Individual provider Family Nurse Practitioner · NPI 1033604954

Mrs. Kenisha Davis, APRN is a Family Nurse Practitioner in South Holland, Illinois. Practices as a sole proprietor. Licensed in Arizona, Illinois and Indiana.

Licensed in
AZ, IL, IN
In the registry since
2018
Specialties on file
7
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

16266 Prince Dr
South Holland, IL 60473-3233
Phone: (708) 222-7333
Fax: (708) 221-0501
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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 209.017812 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 277001991 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71008626A (IN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 71008626A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 251171 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 277001991 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 251171 (AZ)

Record details

NPI number1033604954
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJune 23, 2018
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023

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