Individual provider · Type 1 NPI
Suzette Davenport, NP-C
Adult Health Nurse Practitioner · Rockaway, NJ
NPI number
1366813982
Active
Practice location
333 Mount Hope Ave Ste 170
Rockaway, NJ 07866-1656
Fax (973) 895-3474
Mailing address
PO Box 416457
Boston, MA 02241-6457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ00513600 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Rockaway
About NPI 1366813982
Suzette Davenport, NP-C's National Provider Identifier is 1366813982, issued on Oct 8, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rockaway, NJ. The record was last updated on Jul 22, 2019.