Individual provider · Type 1 NPI

Nicole Ann Davenport

Nurse Practitioner · Johnson City, TN

NPI number 1689571309 Active

Practice location

310 N State Of Franklin Rd Ste 202
Johnson City, TN 37604-6063

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X43271 (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 1689571309

Nicole Ann Davenport's National Provider Identifier is 1689571309, issued on Oct 26, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Johnson City, TN. The record was last updated on Oct 26, 2026.