Individual provider · Type 1 NPI
Lottie S. Davenport, FNP-C
Family Nurse Practitioner · Jasper, GA
NPI number
1629048756
Active
Practice location
51 Gordon Rd Ste 201
Jasper, GA 30143-7104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN149848 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629048756
Lottie S. Davenport, FNP-C's National Provider Identifier is 1629048756, issued on Jan 23, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jasper, GA. The record was last updated on Oct 14, 2025.