Mike Davenport, FNP

NPI 1295789576 · on the registry since 2006

Practice

Address: 206 S Washington St
Mc Leansboro, IL 62859
Phone: (618) 643-2835
Fax: (618) 643-2891
Organisation at this address: Deaconess Specialty Physicians, Inc
Ferrell Hospital Community Foundation
Ferrell Hospital Community Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Also registered as: Family Nurse Practitioner
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-04-22

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 Illinois