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MIKE DAVENPORT, FNP
FNP
Nurse Practitioner
NPI: 1295789576IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse Practitioner
Nurse Practitioner — Family
Code: 363LF0000X
209.005569(IL)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
209.005569(IL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 1999
Contact & Hours
- Address
- 206 S WASHINGTON ST
MC LEANSBORO, IL 62859 - Phone
- (618) 643-2835
Quick Facts
- NPI
- 1295789576
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 27
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