Individual provider · Type 1 NPI

Misti Marie Davenport, CFNP

Nurse Practitioner · Brandon, FL

NPI number 1568720860 Active

Practice location

270 S Moon Ave
Brandon, FL 33511-5711

Fax (813) 571-9922

Mailing address

6006 49th St N, Suite 310
St. Petersburg, FL 33709-2148

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP9406608 (FL)

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…

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About NPI 1568720860

Misti Marie Davenport, CFNP's National Provider Identifier is 1568720860, issued on Apr 25, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brandon, FL. The record was last updated on Feb 3, 2017.