Davenport, Marianne M

Davenport, Marianne M is an individual health care provider with primary practice located at 2140 Smith St , Orange Park FL 32073-5554. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Davenport, Marianne M can be contacted via phone (904) 269-2140.

Contact Information

Primary practice address
2140 Smith St Orange Park FL 32073-5554
Phone: (904) 269-2140
Fax: (904) 264-3018
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 647182 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN647182 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN647182 Florida

Profile Details

NPI number 1699701441
LBN Legal business name Davenport, Marianne M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Apr 14th, 2023 - about last year

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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