Individual
ANGELA R DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1090 OLD FLORENCE RD, LAWRENCEBURG, TN 38464-8401
(931) 762-6505
Mailing address
1090 OLD FLORENCE RD, LAWRENCEBURG, TN 38464-8401
(931) 762-6505
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27979
TN
Other
Enumeration date
08/05/2020
Last updated
06/25/2021
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