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DR. ANGELA FAITH DAVENPORT PMHNP-BC
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1104282383
Individual Registrant:DR. ANGELA FAITH DAVENPORT PMHNP-BC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
14822 MAIN ST ALACHUA, FL 32615-8590 US
Tel: 352-462-9484 Fax: --
Tel: 352-462-9484 Fax: --
Contact information for business:
14822 MAIN ST ALACHUA, FL 32615-8590 US
Tel: 352-462-9484 Fax: --
Tel: 352-462-9484 Fax: --
Registration Information:
NPI: 1104282383
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163W00000X | Nursing Service Providers Registered Nurse | FL | RN9335139 |
| Y | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | FL | APRN9335139 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
