Individual
NATALIE LORENE DAVENPORT-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 MC CLELLAND BLVD STE A, JOPLIN, MO 64804-3502
(417) 347-6625
Mailing address
3201 MC CLELLAND BLVD STE A, JOPLIN, MO 64804-3502
(417) 347-6625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011036227
MO
Other
Enumeration date
10/30/2011
Last updated
11/02/2011
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