Mike S Davenport, FNP
NPI #1295789576 in Mc Leansboro, Illinois
Provider Information
- NPI Number
- 1295789576
- Entity Type
- Individual
- Name
- Mike S Davenport, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- May 20, 2006
- Last Updated
- Apr 22, 2022
Practice Location
- Address
- 206 S WASHINGTON ST
- City
- Mc Leansboro
- State
- Illinois
- ZIP Code
- 62859-1139
- Phone
- (618) 643-2835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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