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Laconda Davenport, FNP
Family Nurse Practitioner in Long Beach, Mississippi
NPI 1629619770

Laconda Davenport is a Family Nurse Practitioner based in Gautier, MS and is specialized in Family. Laconda Davenport practices in Long Beach, MS and has the professional credentials of FNP. The NPI Number for Laconda Davenport is 1629619770 and holds a License No. (Mississippi).

The current practice location address for Laconda Davenport is 110 E Railroad St, Long Beach, MS and can be reached out via phone at 228-678-7036.

Location: 110 E Railroad St, Long Beach, MS, 39553-0019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629619770
Provider Name
Laconda Davenport
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
110 E Railroad St, Long Beach, MS, 39553-0019
Phone Number
228-678-7036
Fax Number
Provider Enumeration Date
09/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 E Railroad St
City
Long Beach
State
Mississippi
Zip
39560-4625
Phone Number
228-678-7036
Fax Number
person
Provider Business Mailing Address Details
Address
110 E Railroad St
City
Long Beach
State
Mississippi
Zip
39560-4625
Phone Number
228-678-7036
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
905253 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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