Provider Demographics
NPI:1285323147
Name:DAVIS, KEESHA ANGELEA (APRN, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:KEESHA
Middle Name:ANGELEA
Last Name:DAVIS
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Gender:F
Credentials:APRN, PMHNP-BC
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Mailing Address - Street 1:6916 CEDAR BASIN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89142-3719
Mailing Address - Country:US
Mailing Address - Phone:725-296-2496
Mailing Address - Fax:801-845-9782
Practice Address - Street 1:3430 E FLAMINGO RD STE 313
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5067
Practice Address - Country:US
Practice Address - Phone:725-296-2496
Practice Address - Fax:801-845-9782
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2024-07-17
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Provider Licenses
StateLicense IDTaxonomies
NV866451363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health