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1609601053
JORDAN DAVENPORT
JOHNSON CITY, TN
NPI
1609601053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 36876)
Enumeration Date
2024-09-05
Last Update Date
2024-10-26
Business Address
JORDAN DAVENPORT FNP-BC
2912 NEWBERN DR
JOHNSON CITY, TN 37604-6310
Phone number: 423-963-7260
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Mailing Address
JORDAN DAVENPORT FNP-BC
2717 E OAKLAND AVE
JOHNSON CITY, TN 37601-1843
Phone number: 423-926-2358
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