Individual provider · Type 1 NPI

Myrtle Howard Davenport, NP-C, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Stockbridge, GA

NPI number 1710402979 Active

Practice location

831 Fairways Ct, Ste #1
Stockbridge, GA 30281

Mailing address

920 Dannon Vw SW, Ste 3103
Atlanta, GA 30331-2158

Other practice locations

  • 200 Oxford Ln, Fayetteville, GA 30215-5317 · (404) 861-0827
  • 8058 Kylie Ct, Riverdale, GA 30274-3985 · (404) 861-0827

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XRN219619 (GA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN219619 (GA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Stockbridge

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About NPI 1710402979

Myrtle Howard Davenport, NP-C, PMHNP-BC's National Provider Identifier is 1710402979, issued on Aug 9, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Stockbridge, GA. The record was last updated on Oct 8, 2023.