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Individual

LAUREN DAVENPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
425 N WENDOVER RD, CHARLOTTE, NC 28211-1064
(704) 817-8230
Mailing address
3000 BIG OAK DR, CHARLOTTE, NC 28210-6420

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
253259
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5020877
NC

Other

Enumeration date
08/28/2023
Last updated
06/11/2025
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