Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKE S DAVENPORT, FNP
ActiveMIKE S DAVENPORT, FNP is a Nurse Practitioner healthcare provider located in MC LEANSBORO, Illinois. NPI 1295789576 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · MC LEANSBORO, IL
Registration Details
- NPI Number
- 1295789576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2006 (20.215045679975 yrs)
- Last Updated
- Apr 22, 2022
- Licenses
-
209.005569 (IL)209.005569 (IL)
Practice Information
- Address
-
206 S WASHINGTON STMC LEANSBORO, IL, 628591139Browse IL providers · Browse ZIP 62859
- Phone
- 6186432835
- Fax
- 6186432891
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in MC LEANSBORO, IL
| Name | Credential | NPI |
|---|---|---|
| MR. WESLEY J HENSON | F.N.P. | 1235380155 |
| MORGAN WARREN | NP-C | 1184160855 |
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.