Individual
LACONDA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2720 S 6TH AVE, TUCSON, AZ 85713-4701
(520) 475-5418
(520) 300-8034
Mailing address
PO BOX 746093, ATLANTA, GA 30374-6093
(520) 475-5418
(520) 300-8034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
222822
OK
363LF0000X
Family Nurse Practitioner
Primary
333031
AZ
363LF0000X
Family Nurse Practitioner
905253
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/30/2019
Last updated
04/03/2026
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