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Active NPI 1093099863 Individual Practitioner Female Practitioner

Lisa Jo Davis , RN

Licensed Practical Nurse • Flora, IL

Professional Overview & Biography Verified Profile Summary

Lisa Davis, RN is a registered healthcare professional specializing in Licensed Practical Nurse in Flora, IL. Practice services are available at 201 E NORTH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 E North Ave

Flora, IL 628392030

Telephone 6186628386
Fax 6186624338
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Flora, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Flora, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 041367410

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Mckenzi Frederick , RN

Registered Nurse

NPI 1104588326

Registered Nurse

NPI 1144312000

RNREGISTEREDNURSE

Kimberly Greenwalt , LPN

Licensed Practical Nurse

NPI 1164523221

Licensed Practical Nurse

Emily Arndt

Nurse Practitioner - Family

NPI 1184308520
Dr. Eugene Kostiuk , MD

Psychiatry & Neurology - Psychiatry

NPI 1265505416

Doctor of Medicine (M.D.)

Betty Harrelson , LPN

Licensed Practical Nurse

NPI 1275042277

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 28, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2011

Registered at 201 E NORTH AVE, FLORA, IL 628392030 (Tel: 6186628386)

📍
Updated Business Mailing Address September 28, 2011

Registered at PO BOX 155, CHRISTOPHER, IL 628220155 (Tel: 6187242436)

👤
Provider Name / Credentials Updated September 28, 2011

Recorded as LISA DAVIS, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2011

Licensed Practical Nurse (License #041367410 in IL)

🟢
Initial NPI Registration & Enumeration September 28, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093099863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2011
Last Update: September 28, 2011
Sole Proprietor: No

Mailing Address

Po Box 155

Christopher, IL 628220155

Phone: 6187242436

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.