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Search › Michigan › Psychiatric/Mental Health Registered Nurse

Jacob Davenport

NPI 1275412355 · on the registry since 2025

Practice

Address
3111 Electric Ave
Port Huron, MI 48060
Phone
(810) 985-8900
Organisation at this address
Genoa Healthcare Llc
St Clair County Community Mental Health Authority
St Clair County Community Mental Health Authority
St Clair County Community Mental Health Authority
St Clair County Community Mental Health Authority - Sud Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
415

Registry record

Primary taxonomy
Psychiatric/Mental Health Registered Nurse
163WP0808X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan