Individual
JILL SHEPPARD DAVENPORT
Active
Individual
JILL SHEPPARD DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MPP, LN, LDN,CNS
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX4347
MD
133NN1002X
Nutrition Education Nutritionist
DX4347
MD
Other
Enumeration date
01/30/2018
Last updated
07/17/2025
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