KAITLYN R DAVIDSON, NP-C, Family JACKSONVILLE, IL

Contact Information

KAITLYN R DAVIDSON, NP-C

15 FOUNDERS LN
JACKSONVILLE, IL 62650

Phone: 217-528-7541
Fax: 217-243-3658
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for KAITLYN R DAVIDSON · (Female)

NPI Number	`1285184713`
Status	Active
Credentials	NP-C (Nurse Practitioner - Certified)
Entity	Individual
Enumeration date	10/07/2016
Last updated	05/22/2020 - About 6 years ago
Sole proprietor ¹	No
Identifiers	IL License # 209014951
Hospital affiliation(s)	MEMORIAL MEDICAL CENTER - (Acute Care) 701 N FIRST ST SPRINGFIELD, IL 62781 PASSAVANT AREA HOSPITAL - (Acute Care) 1600 W WALNUT ST JACKSONVILLE, IL 62650

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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KAITLYN R DAVIDSON, NP-C – NPI #1285184713Family

Contact Information

Specialty

Family

NPI Profile & details for KAITLYN R DAVIDSON · (Female)

Reviews for KAITLYN R DAVIDSON

KAITLYN R DAVIDSON, NP-C – NPI #1285184713
Family