Davenport, Angela Faith

Davenport, Angela Faith is an individual health care provider with primary practice located at 14822 Main St , Alachua FL 32615-8590. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Davenport, Angela Faith can be contacted via phone (352) 462-9484.

Contact Information

Primary practice address
14822 Main St Alachua FL 32615-8590
Phone: (352) 462-9484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9335139 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9335139 Florida

Profile Details

NPI number 1104282383
LBN Legal business name Davenport, Angela Faith
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2016
Last updated Aug 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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