Individual
DR. ANGELA FAITH DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
14822 MAIN ST, ALACHUA, FL 32615-8590
(352) 462-9484
Mailing address
14822 MAIN ST, ALACHUA, FL 32615-8590
(352) 462-9484
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9335139
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9335139
FL
Other
Enumeration date
01/04/2016
Last updated
08/20/2019
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