Davenport, Rosemary E
Davenport, Rosemary E is an individual health care provider with primary practice located at 1222 Trotwood Ave Ste 101 , Columbia TN 38401-6404. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Davenport, Rosemary E can be contacted via phone (931) 490-7372.Contact Information
Primary practice address
1222 Trotwood Ave Ste 101
Columbia TN 38401-6404
Phone: (931) 490-7372
Fax: (931) 490-7379
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APN6065 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN6065 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 6065 | Tennessee |
Profile Details
NPI number | 1811900095 |
---|---|
LBN Legal business name | Davenport, Rosemary E |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2006 |
Last updated | Jun 22nd, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811900095 | NPPES |
Tennessee | Other | 4136771 | BCBST |
Tennessee | MEDICAID | 3928039 | BCBST |
Tennessee | MEDICAID | 3710089 | BCBST |
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