Individual
JORDAN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
245 NORTH ST, BRISTOL, VA 24201-3274
(276) 669-4711
Mailing address
2717 E OAKLAND AVE, JOHNSON CITY, TN 37601-1843
(423) 926-2358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
36876
TN
Other
Enumeration date
09/05/2024
Last updated
05/15/2025
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