Individual provider · Type 1 NPI
Jordan Davenport, FNP-BC
Nurse Practitioner · Bristol, VA
Practice location
245 North St
Bristol, VA 24201-3274
Mailing address
2717 E Oakland Ave
Johnson City, TN 37601-1843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 36876 (TN) |
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 1609601053
Jordan Davenport, FNP-BC's National Provider Identifier is 1609601053, issued on Sep 5, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bristol, VA. The record was last updated on May 15, 2025.