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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK ADAM DAVENPORT, CRNA

Active Sole Proprietor

JACK ADAM DAVENPORT, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in DES MOINES, Iowa. NPI 1699102301 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · DES MOINES, IA

Registration Details

NPI Number
1699102301
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2013 (12.882947615744 yrs)
Last Updated
Jun 26, 2024
License
121287 (IA)
Sole Proprietor
Yes

Practice Information

Address
1200 PLEASANT ST
DES MOINES, IA, 503091406
Browse IA providers · Browse ZIP 50309
Phone
5152416372
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in DES MOINES, IA

Name Credential NPI
BETH JACKSON CRNA 1750378477
JOAN MILLEA CRNA 1659368272
HOLLY GIBSON CRNA 1598752123
JENNIFER MARIE THOMSEN CRNA 1134100324
MS. REBECCA S JIMENEZ C.R.N.A. 1497714646
ANGELA STILLMUNKES C.R.N.A. 1457310617
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.