Davenport, Lily

Davenport, Lily is an sole proprietor health care provider with primary practice located at 180 Tices Ln Ste 205 , East Brunswick NJ 08816-1345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Davenport, Lily can be contacted via phone (732) 247-1040.

Contact Information

Primary practice address
180 Tices Ln Ste 205 East Brunswick NJ 08816-1345
Phone: (732) 247-1040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ15367700 New Jersey

Profile Details

NPI number 1689557894
LBN Legal business name Davenport, Lily
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2025
Last updated Aug 5th, 2026 - about 2 months 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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