Davenport, Molly Michelle

Davenport, Molly Michelle is an sole proprietor health care provider with primary practice located at 325 W Gowe St , Kent WA 98032-5892. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program, 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, Molly Michelle can be contacted via phone (253) 777-7777.

Contact Information

Primary practice address
325 W Gowe St Kent WA 98032-5892
Phone: (253) 777-7777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00009144 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61002886 Washington

Profile Details

NPI number 1891857181
LBN Legal business name Davenport, Molly Michelle
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated May 10th, 2024 - about 6 months 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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