Individual provider · Type 1 NPI
Deanna L. Davenport, NP
Nurse Practitioner · East Carondelet, IL
Practice location
401 Kellings Farm Rd
East Carondelet, IL 62240-1241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN127022 (GA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1467510644
Deanna L. Davenport, NP's National Provider Identifier is 1467510644, issued on Dec 4, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in East Carondelet, IL. The record was last updated on Nov 15, 2025.