Stacey Davis, PMHNP-BC - Nurse Practitioner in Oak Park, IL

Stacey Davis, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Oak Park, Illinois. Stacey Davis is licensed to practice in Illinois (license number 209.022618) and her current practice location is 1010 Lake St Ste 100, Oak Park, Illinois. She can be reached at her office (for appointments etc.) via phone at (708) 790-5200.

NPI number for Stacey Davis is 1508454448 and her current mailing address is 1137 W 127th St, Calumet Park, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508454448.

Contact Information

Stacey Davis, PMHNP-BC
1010 Lake St Ste 100,
Oak Park, IL 60301-1106
(708) 790-5200
Not Available

Map and Direction




Provider's Profile

Full NameStacey Davis
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1010 Lake St Ste 100, Oak Park, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508454448
  • Provider Enumeration Date: 01/06/2021
  • Last Update Date: 03/12/2021

Medical Identifiers

Medical identifiers for Stacey Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508454448NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209.022618 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacey Davis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacey Davis, PMHNP-BC
1137 W 127th St,
Calumet Park, IL 60827-6537

Ph: (708) 620-7807
Stacey Davis, PMHNP-BC
1010 Lake St Ste 100,
Oak Park, IL 60301-1106

Ph: (708) 790-5200

Reviews and Comments


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