Brooke Davis, NP
Nurse Practitioner in Normal, IL. Individual provider (NPI-1).
NPI number1235686759
StatusActive
Last updated in NPPESMay 8, 2017
Details
- NPI
- 1235686759
- Entity type
- Individual (NPI-1)
- Name
- Brooke Davis
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2016
- Last updated
- May 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209014769 | IL | Yes |
Other names
- Brooke Rebbe (Former Name)
Practice location
1302 Franklin AveSuite 4800
Normal, IL 61761-3551
Phone 309-454-5900 · Fax 309-454-2820
Mailing address
1302 Franklin AveSuite 4800
Normal, IL 61761-3551
Phone 309-454-5900 · Fax 309-454-2820
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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