person
Elissa Jo Davenport, NP
Pediatric Nurse Practitioner in Caledonia, Michigan
NPI 1962824375

Elissa Jo Davenport is a Pediatric Nurse Practitioner based in Wyoming, MI and is specialized in Pediatrics. Elissa Jo Davenport practices in Caledonia, MI and has the professional credentials of NP. The NPI Number for Elissa Jo Davenport is 1962824375 and holds a License No. 4704260086 (Michigan).

The current practice location address for Elissa Jo Davenport is 8941 N Rodgers Ct Se, Caledonia, MI and can be reached out via phone at 616-252-5300 and via fax at 616-252-5390.

Location: 8941 N Rodgers Ct Se, Caledonia, MI, 49519-9606
person
Provider Profile Details
NPI Number
1962824375
Provider Name
Elissa Jo Davenport
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8941 N Rodgers Ct Se, Caledonia, MI, 49519-9606
Phone Number
616-252-5300
Fax Number
616-252-5390
Provider Enumeration Date
01/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704260086 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
8941 N Rodgers Ct Se
City
State
Zip
49316-8013
Phone Number
616-252-5300
Fax Number
616-252-5390
person
Provider Business Mailing Address Details
Address
8941 N Rodgers Ct Se
City
State
Zip
49316-8013
Phone Number
616-252-5300
Fax Number
616-252-5390
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4704260086 (Michigan)
Definition
Definition to come...
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