Davenport, Deanna L

Davenport, Deanna L is an individual health care provider with primary practice located at 401 Kellings Farm Rd , East Carondelet IL 62240-1241. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Davenport, Deanna L can be contacted via phone (678) 517-4802.

Contact Information

Primary practice address
401 Kellings Farm Rd East Carondelet IL 62240-1241
Phone: (678) 517-4802
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN127022 Georgia

Profile Details

NPI number 1467510644
LBN Legal business name Davenport, Deanna L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Nov 15th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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