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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1508454448

Stacey Davis, PMHNP-BC is a Nurse Practitioner in Oak Park, Illinois. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1010 Lake St Ste 100
Oak Park, IL 60301-1106
Phone: (708) 790-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1137 W 127th St, Calumet Park, IL 60827-6537 — (708) 620-7807

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209.022618 (IL)

Record details

NPI number1508454448
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJanuary 6, 2021
Last updated in NPPESMarch 12, 2021
Certification dateFebruary 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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