Brandi Jo Anna Davenport, LPN is a
Licensed Practical Nurse based in Madisonville, Tennessee. Brandi Jo Anna Davenport is licensed to practice in Georgia (license number LPN084130) and her current practice location is
3469 New Highway 68 Ste A, Madisonville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 442-3993.
NPI number for Brandi Jo Anna Davenport is 1770258758 and her current mailing address is Po Box 38, Madisonville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770258758.
Provider's Profile
| Full Name | Brandi Jo Anna Davenport |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 3469 New Highway 68 Ste A, Madisonville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770258758
- Provider Enumeration Date: 08/12/2021
- Last Update Date: 08/12/2021
Medical Identifiers
Medical identifiers for Brandi Jo Anna Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770258758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN084130 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandi Jo Anna Davenport is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brandi Jo Anna Davenport, LPN
Po Box 38,
Madisonville, TN 37354-0038
Ph: (423) 442-3993 | Brandi Jo Anna Davenport, LPN
3469 New Highway 68 Ste A,
Madisonville, TN 37354-5148
Ph: (423) 442-3993 |
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