Heather Dawn Davis, APRN,FNP-C

Nurse Practitioner · Mount Vernon, IL

Individual Active NPI

NPI number 1053880781

Practice location

4119 S Water Tower Pl Ste a
Mount Vernon, IL 62864-6293
Phone
(618) 816-6006
Fax
(618) 816-6005

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NPI record

NPI
1053880781
Entity type
Individual (Type 1)
Enumeration date
November 26, 2018
Last updated
April 17, 2026
Certified
April 17, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 209018023 IL

About Heather Davis

Heather Dawn Davis, APRN,FNP-C is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 4119 S Water Tower Pl Ste a, Mount Vernon, IL 62864-6293. The NPI number 1053880781 was assigned on November 26, 2018 and the record was last updated on April 17, 2026.

Heather Davis lists a license in the registry: #209018023 (IL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Heather Dawn Davis, APRN,FNP-C?

The NPI number is 1053880781.

What is the phone number of Heather Davis?

The phone number listed for the practice location is (618) 816-6006.

Where is Heather Davis located?

4119 S Water Tower Pl Ste a, Mount Vernon, IL 62864-6293.

What is the taxonomy code for Heather Davis?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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