| Alisha Chestnut Davenport, FNP-BC | |
|
12701 Us 70 Bus Hwy W, Clayton, NC 27520-2195 | |
| (919) 235-1968 | |
| Not Available |
| Full Name | Alisha Chestnut Davenport |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12701 Us 70 Bus Hwy W, Clayton, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275210635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5018362 (North Carolina) | Primary |
| Entity Name | Wake Specialty Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942440375 PECOS PAC ID: 7416006085 Enrollment ID: O20090601000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisha Chestnut Davenport, FNP-BC Po Box 602195, Charlotte, NC 28260-2195 Ph: (877) 498-4490 | Alisha Chestnut Davenport, FNP-BC 12701 Us 70 Bus Hwy W, Clayton, NC 27520-2195 Ph: (919) 235-1968 |
Stephanie Renee Howard, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 91 Topwater Dr Apt 104, Clayton, NC 27527 Phone: 984-960-9011 | |
Lynn Ton Zimmers, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Medspring Drive, Suite 100, Clayton, NC 27520 Phone: 919-359-3500 Fax: 919-359-3501 | |
Mrs. Anna Sullivan Bruton, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Healthpark Way Ste 100, Clayton, NC 27520 Phone: 919-585-8850 Fax: 919-585-8869 | |
Mrs. Amanda Bradley Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11491 Us 70 Hwy W, Clayton, NC 27520 Phone: 919-550-2484 | |
Jennifer Esther Gonzalez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12701 Us 70w Business, Clayton, NC 27520 Phone: 919-235-1968 | |
Faben Mulate Ali, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11911 Us 70 Hwy W, Clayton, NC 27520 Phone: 866-389-2727 | |
Mr. Steven Angelos Marinos, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Regulator Dr, Clayton, NC 27520 Phone: 919-437-7077 |