Individual
MRS. JENNIFER ELAINE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-2804
(479) 314-2807
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-2804
(479) 314-2807
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03380
AR
Other
Enumeration date
05/25/2010
Last updated
08/07/2013
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