Individual
JACOB DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
(313) 993-1245
Mailing address
9610 FARMINGTON RD, LIVONIA, MI 48150-2742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704354541
MI
Other
Enumeration date
04/18/2026
Last updated
04/18/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us