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

Petisha Davis, FNP

Individual provider Family Nurse Practitioner · NPI 1134589542

Petisha Davis, FNP is a Family Nurse Practitioner in Excelsior Springs, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2016.

Licensed in
KS, MO
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone: (816) 630-6081
Fax: (816) 629-3661
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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 2008007305 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 14106475111 (KS)

Record details

NPI number1134589542
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 26, 2016
Last updated in NPPESApril 12, 2016
Mailing address14951 M Highway, Rayville, MO 64084-9074

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