Davenport, Myrtle Howard

Davenport, Myrtle Howard is an individual health care provider with primary practice located at 831 Fairways Ct Ste #1, Stockbridge GA 30281. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Davenport, Myrtle Howard can be contacted via phone (404) 861-0827.

Contact Information

Primary practice address
831 Fairways Ct Ste #1 Stockbridge GA 30281
Phone: (404) 861-0827
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN219619 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN219619 Georgia

Profile Details

NPI number 1710402979
LBN Legal business name Davenport, Myrtle Howard
Credentials NP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2017
Last updated Oct 8th, 2023 - about 3 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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