Individual provider · Type 1 NPI
Elissa Jo Davenport, NP
Pediatric Nurse Practitioner · Caledonia, MI
NPI number
1962824375
Active
Practice location
8941 N Rodgers Ct SE
Caledonia, MI 49316-8013
Fax (616) 252-5390
Mailing address
5900 Byron Center Ave SW, Medical Administration
Wyoming, MI 49519-9606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704260086 (MI) |
Pediatric Nurse Practitioner: Definition to come...
16 other providers at this address
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- Arinn KingPhysical Therapist Caledonia, MI NPI 1881562999
- Aryn Johnson, DOSports Medicine (Family Medicine) Physician Caledonia, MI NPI 1376586461
- David M. Ehrhardt, DONeurology Physician Caledonia, MI NPI 1710255575
- Eric ShankinInternal Medicine Physician Caledonia, MI NPI 1285384065
- Gayle M. Hofmann, PA-CPhysician Assistant Caledonia, MI NPI 1770886269
- John C. Woodworth, DOFamily Medicine Physician Caledonia, MI NPI 1518921725
- Julie StintonNurse Practitioner Caledonia, MI NPI 1275949398
- Karin C. Schmottlach, PA-CPhysician Assistant Caledonia, MI NPI 1487860466
- Laura S. Bouch, DOPediatrics Physician Caledonia, MI NPI 1487617304
- Michael E. Kogut, DOInternal Medicine Physician Caledonia, MI NPI 1649619925
- Steven P. Bergman, DOFamily Medicine Physician Caledonia, MI NPI 1699739177
About NPI 1962824375
Elissa Jo Davenport, NP's National Provider Identifier is 1962824375, issued on Jan 21, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Caledonia, MI. The record was last updated on Feb 5, 2019.