Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB DAVENPORT
ActiveJACOB DAVENPORT is a Child & Adolescent Psychiatric Nurse healthcare provider located in PORT HURON, Michigan. NPI 1275412355 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · PORT HURON, MI
Registration Details
- NPI Number
- 1275412355
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Sep 2, 2025 (0.99187045286419 yrs)
- Last Updated
- Sep 2, 2025
- License
-
4704387820 (MI)
Practice Information
- Address
-
3111 ELECTRIC AVEPORT HURON, MI, 480608127Browse MI providers · Browse ZIP 48060
- Phone
- 8109858900
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.