Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISSA JO DAVENPORT, NP
ActiveELISSA JO DAVENPORT, NP is a Pediatric Nurse Practitioner healthcare provider located in CALEDONIA, Michigan. NPI 1962824375 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · CALEDONIA, MI
Registration Details
- NPI Number
- 1962824375
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2014 (12.58965886198 yrs)
- Last Updated
- Feb 5, 2019
- License
-
4704260086 (MI)
Practice Information
- Address
-
8941 N RODGERS CT SECALEDONIA, MI, 493168013Browse MI providers · Browse ZIP 49316
- Phone
- 6162525300
- Fax
- 6162525390
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
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.