Individual
JENNY LORI DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.H.S., R.D., L.D.N.
Contact information
Practice address
3695 HARSHAW RD, MURPHY, NC 28906-7035
(828) 837-6837
Mailing address
PO BOX 1146, MURPHY, NC 28906-1146
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
L003396
NC
133V00000X
Registered Dietitian
Primary
985075
—
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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