Davenport, Gail Lynn

Davenport, Gail Lynn is an individual health care provider with primary practice located at 6017Th St S , St. Petersburg FL 33701-4748. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Davenport, Gail Lynn can be contacted via phone (727) 893-6234.

Contact Information

Primary practice address
6017Th St S St. Petersburg FL 33701-4748
Phone: (727) 893-6234
Fax: (727) 553-7798
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN3351742 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ARNP3351742 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN3351742 Florida

Profile Details

NPI number 1104059120
LBN Legal business name Davenport, Gail Lynn
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2009
Last updated Nov 5th, 2024 - about 2 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1104059120 NPPES
Florida MEDICAID 109410700

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