Individual provider · Type 1 NPI
Priscilla Jayne Davenport
Rehabilitation Practitioner · Yucaipa, CA
NPI number
1750119780
Active
Practice location
10776 Fremont St
Yucaipa, CA 92399-9630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Rehabilitation Practitioner Primary | 225400000X | None listed |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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About NPI 1750119780
Priscilla Jayne Davenport's National Provider Identifier is 1750119780, issued on Jul 22, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Yucaipa, CA. The record was last updated on May 6, 2025.