Individual
DEANNA KATHLINE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-8788
(573) 882-3131
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
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
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