Individual provider · Type 1 NPI

Carter Davenport

Student in an Organized Health Care Education/Training Program · Cleveland, TN

NPI number 1013885490 Active

Practice location

1400 Parker St NE
Cleveland, TN 37311

Call (423) 614-8175 Map

Mailing address

2156 Gibson Dr SE
Cleveland, TN 37323-7100

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013885490

Carter Davenport's National Provider Identifier is 1013885490, issued on Oct 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, TN. The record was last updated on Oct 27, 2025.