Individual
JILL LEANNE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
311 E WARWICK DR, ALMA, MI 48801-1088
(989) 463-4976
Mailing address
4098 S MERIDIAN RD, MERRILL, MI 48637-9419
(989) 529-0972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704249359NSA17461
MI
Other
Enumeration date
11/02/2017
Last updated
04/12/2021
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