Individual
BRANDI JO ANNA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN-RN
Contact information
Practice address
3469 NEW HIGHWAY 68 STE A, MADISONVILLE, TN 37354-5148
(423) 442-3993
(423) 442-9468
Mailing address
400 GLENDALE AVE, ATHENS, TN 37303-4218
(706) 483-8413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
276808
TN
164W00000X
Licensed Practical Nurse
LPN084130
GA
Other
Enumeration date
08/12/2021
Last updated
07/03/2024
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