JILL LEANNE DAVENPORT (NPI# 1639681448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639681448 |
Entity Type | Individual |
Full Name | JILL LEANNE DAVENPORT |
Credential | FNP |
Practice Address |
311 E Warwick Dr Alma MI 48801-1088 |
Mailing Address |
4098 S Meridian Rd Merrill MI 48637-9419 |
Practice Telephone | 9894634976 |
Mailing Telephone | 9895290972 |
Enumeration Date | 2017-11-02 |
Last Update Date | 2017-11-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704249359NSA174 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780936633 | Jill Davenport | Massage Therapist | 11965 Venice Blvd, Suite 209, Los Angeles, CA 90066-3979 | 2012-10-02 |
1740440304 | Jill Davenport | Internal Medicine | 7808 Clodus Fields Dr, Dallas, TX 75251-2206 | 2008-06-16 |
Street Address |
311 E WARWICK DR |
City | ALMA |
State | MI |
Zip Code | 48801-1088 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790778363 | Rakesh N Saxena Md PC | Internal Medicine | 311 E Warwick Dr, Alma, MI 48801-1013 | 2005-08-29 |
1609350438 | Kristina Marie Hug | Nurse Practitioner | 311 E Warwick Dr, Alma, MI 48801-1088 | 2018-09-18 |
1770936866 | Roberta Sue Hahn | Nurse Practitioner | 311 E Warwick Dr, Alma, MI 48801-1088 | 2016-07-13 |
1407264237 | Prism Medical Associates, PC | Family Medicine | 311 E Warwick Dr, Alma, MI 48801-1088 | 2014-07-24 |
1295075794 | Christopher M Mcmahon | Physician Assistant | 311 E Warwick Dr, Suite A, Alma, MI 48801-1088 | 2013-02-20 |
1285827196 | Indira R. Saxena | Obstetrics & Gynecology | 311 E Warwick Dr, Alma, MI 48801-1013 | 2007-08-23 |
1932302692 | Rakesh N Saxena | Internal Medicine | 311 E Warwick Dr, Alma, MI 48801-1013 | 2007-06-08 |
1255378378 | Indira R Saxena Md PC | Obstetrics & Gynecology | 311 E Warwick Dr, Alma, MI 48801 | 2006-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407365851 | Lisa Diane Ackerman | Social Worker | 608 Wright Ave., Alma, MI 48801 | 2017-09-28 |
1679082028 | Amelia Hope Kasper | Case Manager/Care Coordinator | 608 Wright Avenue, Alma, MI 48801 | 2017-09-28 |
1245687516 | Mickaela Perez | Technician, Other | 623 W Warwick Dr Ste 2, Alma, MI 48801 | 2016-05-17 |
1639443005 | Bobbi L Hall | Pharmacist | 2805 W Cheesman Rd, Alma, MI 48801 | 2012-03-02 |
1588998652 | Jonathan Michael Daniels | Physician Assistant | 311 E. Warwick Dr., Alma, MI 48801 | 2009-09-23 |
1659593937 | Foot Care Inc | Durable Medical Equipment & Medical Supplies | 115 E Superior Street, Alma, MI 48801 | 2007-05-03 |
1689716193 | Sara A Wassenaar | Dentist | 226 N State Street, Alma, MI 48801 | 2007-02-12 |
1760574883 | Midmichigan Medical Center- Gratiot | Internal Medicine | 300 E. Warwick Drive, Alma, MI 48801 | 2006-09-28 |
1437250305 | Michael Robert St Louis | Physician Assistant | 300 South Warwick Drive, Alma, MI 48801 | 2006-09-25 |
1215032099 | Talal Omar Samhan | Urology | 1465 Mary Court, Alma, MI 48801 | 2006-09-14 |
Find all providers in zip 48801 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114371861 | Keri Foster | Nurse Practitioner | 906 7th Street, Alma, NE 68920-0665 | 2016-04-19 |
1871868612 | We Care Family Practice, Inc. | Nurse Practitioner | 204 S Dixon St, Alma, GA 31510-2704 | 2012-03-13 |
1740815547 | Timothy Burggraf | Nurse Practitioner | 300 E Warwick Dr, Alma, MI 48801-1096 | 2020-03-12 |
1467085217 | Janna Mullis Moody | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2020-02-20 |
1427532936 | Brittany M Cline | Nurse Practitioner | 245 E Warwick Dr, Alma, MI 48801-1026 | 2018-09-20 |
1326522053 | Rachel Ann Bade | Nurse Practitioner | 300 E Warwick Dr, Alma, MI 48801-1014 | 2018-09-19 |
1609350438 | Kristina Marie Hug | Nurse Practitioner | 311 E Warwick Dr, Alma, MI 48801-1088 | 2018-09-18 |
1770098410 | Jennifer Darlene Dowling | Nurse Practitioner | 1126 W 12th St, Alma, GA 31510-1814 | 2017-12-04 |
1558808626 | Sheryl Turner Cox | Nurse Practitioner | 204 E 15th St, Alma, GA 31510-2908 | 2017-01-26 |
1770936866 | Roberta Sue Hahn | Nurse Practitioner | 311 E Warwick Dr, Alma, MI 48801-1088 | 2016-07-13 |
Find all providers in ALMA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.