Jordan Davenport, FNP-BC

NPI #1609601053 in Bristol, Virginia

Provider Information

NPI Number: 1609601053
Entity Type: Individual
Name: Jordan Davenport, FNP-BC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: FNP-BC
Enumeration Date: Sep 5, 2024
Last Updated: May 15, 2025

Practice Location

Address: 245 NORTH ST
City: Bristol
State: Virginia
ZIP Code: 24201-3274
Phone: (276) 669-4711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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