| Elizabeth Jade Davis, | |
|
409 Se Greenville Ave, Winchester, IN 47394-9464 | |
| (765) 584-0480 | |
| (765) 584-0470 |
| Full Name | Elizabeth Jade Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 409 Se Greenville Ave, Winchester, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356169205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71016224A (Indiana) | Primary |
| Entity Name | St Vincent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Jade Davis, 403 E Elm St, Winchester, IN 47394-2211 Ph: () - | Elizabeth Jade Davis, 409 Se Greenville Ave, Winchester, IN 47394-9464 Ph: (765) 584-0480 |
Pauletta J Hummel, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 473 E Greenville Ave, Winchester, IN 47394 Phone: 765-584-0240 | |
Amanda K Clevenger, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 E Greenville Ave, Winchester, IN 47394 Phone: 765-584-0480 | |
Mrs. Lisa Marcella Moore, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 Se Greenville Ave, Winchester, IN 47394 Phone: 765-584-0480 | |
Kelly J Campbell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 E Greenville Ave, Suite 300, Winchester, IN 47394 Phone: 765-584-0480 | |
Alice Pauline Watkins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 E Hospital Dr, Winchester, IN 47394 Phone: 765-584-1639 Fax: 765-584-4711 | |
Samantha M Morris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 409 E Greenville Ave, Winchester, IN 47394 Phone: 765-584-0480 |