Healthcare Provider Details

I. General information

NPI: 1215860242
Provider Name (Legal Business Name): BRITTANY DAVISON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 MADISON AVE
GRANITE CITY IL
62040-4701
US

IV. Provider business mailing address

2100 MADISON AVE
GRANITE CITY IL
62040-4701
US

V. Phone/Fax

Practice location:
  • Phone: 618-798-8835
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SI0800X
TaxonomyInformatics Clinical Nurse Specialist
License Number041.433917
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: