Mary Davenport in Memphis - Nurse Practitioner
Mary Davenport - NPI 1922048586
Mary Davenport is a Nurse Practitioner in Memphis, Tennessee. Mary Davenport practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Davenport is 1922048586. The last update date is 2007-12-05.
Mary Davenport's current location address is 6019 Walnut Grove Rd, Memphis, Tennessee. You can contact this provider via phone number 9012265000. The mailing address for Mary Davenport is 6019 Walnut Grove Rd, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Davenport |
|---|---|
| Address | 6019 Walnut Grove Rd, Memphis, Tennessee |
| Phone Number | 9012265000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1922048586 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2007-12-05 |
Provider Mailing Address Detail
| Address | 6019 Walnut Grove Rd |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381202113 |
| Phone Number | 9012265000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 42370 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4009454 | TN | BLUE CROSS | |
| 4785272 | MS | -- |
Post Comment/ Review Below
What is the Mary Davenport's unique identification number?
The Mary Davenport has been assigned the NPI (National Provider Identifier) Number 1922048586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Mary Davenport?
The Mary Davenport is physically situated at 6019 Walnut Grove Rd, in the city of Memphis, state of TN, with the postal code 381202113.
What is the Mary Davenport's specialty and taxonomy code?
The Mary Davenport's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When did the Mary Davenport receive its 1922048586?
The Mary Davenport was issued its 1922048586 on 2006-06-08, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Mary Davenport last refreshed?
The information related to the Mary Davenport, including its address, specialty, and other relevant details, was last updated on 2007-12-05.
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