Individual
KAREN MICHELLE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN ,ACNP-BC
Contact information
Practice address
605 GLENWOOD DR, SUITE 404, CHATTANOOGA, TN 37404-1108
(423) 629-7220
(423) 629-4091
Mailing address
605 GLENWOOD DRIVE, SUITE 404, CHATTANOOGA, TN 37404-2720
(423) 629-4220
(423) 629-4091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16430
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6021086
BCBS OF TENNESSEE
TN
05
—
Q006688
—
TN
Enumeration date
02/09/2012
Last updated
10/06/2016
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