Individual provider · Type 1 NPI
Lily Davenport, PMHNP
Psychiatric/Mental Health Nurse Practitioner · East Brunswick, NJ
NPI number
1689557894
Active
Practice location
180 Tices Ln Ste 205
East Brunswick, NJ 08816-1345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ15367700 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1689557894
Lily Davenport, PMHNP's National Provider Identifier is 1689557894, issued on Jul 28, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in East Brunswick, NJ. The record was last updated on Aug 5, 2026.