Individual
DEANNA KATHLINE DAVENPORT
Active
Individual
DEANNA KATHLINE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
143086
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
143086
MO
363LF0000X
Family Nurse Practitioner
143086
MO
Other
Enumeration date
05/16/2006
Last updated
05/09/2023
Update your record
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