Individual
MS. LILY DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
180 TICES LN STE 205, EAST BRUNSWICK, NJ 08816-1345
(732) 247-1040
Mailing address
5 CARLYLE CT, ROBBINSVILLE, NJ 08691-3044
(347) 610-4116
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15367700
NJ
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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