Individual
ALISHA CHESTNUT DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
12701 US 70 BUS HWY W, CLAYTON, NC 27520-2195
(919) 235-1968
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018362
NC
Other
Enumeration date
06/28/2023
Last updated
11/30/2023
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