Individual provider · Type 1 NPI
Jacob Davenport
Registered Nurse · Detroit, MI
Practice location
4001 W Mcnichols Rd
Detroit, MI 48221-3038
Mailing address
9610 Farmington Rd
Livonia, MI 48150-2742
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 4704354541 (MI) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1124962113
Jacob Davenport's National Provider Identifier is 1124962113, issued on Apr 18, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Detroit, MI. The record was last updated on Apr 18, 2026.