Individual
ROSEMARY E DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1222 TROTWOOD AVE STE 101, COLUMBIA, TN 38401-6404
(931) 490-7372
(931) 490-7379
Mailing address
854 W JAMES M CAMPBELL BLVD STE 303, COLUMBIA, TN 38401-4672
(931) 490-7372
(931) 490-7379
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6065
TN
363LA2100X
Acute Care Nurse Practitioner
APN6065
TN
363LF0000X
Family Nurse Practitioner
APN6065
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710089
—
TN
05
—
3928039
—
TN
01
—
4136771
BCBST
TN
Enumeration date
08/15/2006
Last updated
06/22/2022
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