Healthcare Provider Details

I. General information

NPI: 1649680984
Provider Name (Legal Business Name): LADONNA DAVIS MSN, APNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2014
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1366 E SUMNER ST # 1002
HARTFORD WI
53027-1614
US

IV. Provider business mailing address

PO BOX 6317
MILWAUKEE WI
53206-0317
US

V. Phone/Fax

Practice location:
  • Phone: 877-279-5960
  • Fax: 877-384-3106
Mailing address:
  • Phone: 262-278-5442
  • Fax: 262-205-1285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1229755
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0043271
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11045532
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number88946
License Number StateNM
# 5
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberA189748
License Number StateIA
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-86199-012
License Number StateKS
# 7
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15400-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: