DEANNA L DAVENPORT

EAST CARONDELET, IL
NPI1467510644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN127022)
Enumeration Date2006-12-04
Last Update Date2025-11-15
Business Address
DEANNA L DAVENPORT NP
401 KELLINGS FARM RD
EAST CARONDELET, IL 62240-1241
Phone number: 678-517-4802
Mailing Address
DEANNA L DAVENPORT NP
401 KELLINGS FARM RD
EAST CARONDELET, IL 62240-1241
Phone number: 678-517-4802