MIKE DAVENPORT, FNP
Nurse Practitioner
Active
Individual
NPI: 1295789576
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 209.005569 (IL) |
| Nurse Practitioner | 363L00000X | Yes | 209.005569 (IL) |
Frequently Asked Questions
NPI 1295789576 is the National Provider Identifier for MIKE DAVENPORT, FNP, a Nurse Practitioner provider located in Mc Leansboro, IL. This NPI was enumerated on May 20, 2006.
MIKE DAVENPORT, FNP practices at 206 S WASHINGTON ST, Mc Leansboro, IL 62859.
Quick Facts
- NPI
- 1295789576
- Type
- Individual
- Enumerated
- May 20, 2006
- Last Updated
- Apr 22, 2022
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