Individual
WESLEY ADAM DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
472 RANKIN DR, MARION, NC 28752-6568
(828) 652-1400
(828) 659-7829
Mailing address
260 MILLER AVE, MARION, NC 28752-5697
(828) 652-6866
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
210673
NC
363LP2300X
Primary Care Nurse Practitioner
210673
NC
Other
Enumeration date
07/25/2019
Last updated
02/16/2021
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