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Individual

CHELSEA DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
2221 8TH AVE, FORT WORTH, TX 76110-1812
(817) 336-5060
(817) 336-1744
Mailing address
2221 8TH AVE, FORT WORTH, TX 76110-1812
(817) 336-5060
(817) 336-1744

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1034111
TX
363LA2100X
Acute Care Nurse Practitioner
1034111
TX
363LA2200X
Adult Health Nurse Practitioner
1034111
TX
363LG0600X
Gerontology Nurse Practitioner
1034111
TX

Other

Enumeration date
04/13/2021
Last updated
04/13/2021
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