Search › Tennessee › 101YP2500X
Bruce Davenport
NPI 1790552255 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1820 Paul Dr
Jefferson City, TN 37760 - Phone
- (423) 312-4687
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-05
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 Tennessee