Individual
JENNIFER WU DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-5004
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-5004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.32083
AL
208000000X
Pediatrics Physician
MD.32083
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015136700
—
FL
05
—
161321
—
AL
05
—
162334
—
AL
01
—
511-49576
BCBS
AL
01
—
511-49577
BCBS
AL
Enumeration date
04/19/2011
Last updated
12/28/2015
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