Davenport, Jack Adam

Davenport, Jack Adam is an sole proprietor health care provider with primary practice located at 1200 Pleasant St , Des Moines IA 50309-1406. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Davenport, Jack Adam can be contacted via phone (515) 241-6372.

Contact Information

Primary practice address
1200 Pleasant St Des Moines IA 50309-1406
Phone: (515) 241-6372
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 121287 Iowa

Profile Details

NPI number 1699102301
LBN Legal business name Davenport, Jack Adam
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2013
Last updated Jun 26th, 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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