Individual
JULIE J DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4200 HOUMA BLVD, METAIRIE, LA 70006-2970
(504) 454-4000
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP03760
LA
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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