Individual
JAVACIA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
9320 US HIGHWAY 301 S, RIVERVIEW, FL 33578-6300
(656) 233-5300
Mailing address
7024 SUMMER HOLLY PL, RIVERVIEW, FL 33578-4952
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11038354
FL
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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