Nikki Lee Davenport, FNP | |
106 S Military St, Loretto, TN 38469-2100 | |
(931) 853-4622 | |
(931) 853-4621 |
Full Name | Nikki Lee Davenport |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 106 S Military St, Loretto, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932610367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 23085 (Tennessee) | Primary |
Entity Name | Amg-hillside Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710105499 PECOS PAC ID: 9436240017 Enrollment ID: O20070810000665 |
Entity Name | Amg-crockett, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326550732 PECOS PAC ID: 4789770199 Enrollment ID: O20071017000313 |
Mailing Address | Practice Location Address |
---|---|
Nikki Lee Davenport, FNP 314 Church St, Loretto, TN 38469-2145 Ph: (931) 242-9298 | Nikki Lee Davenport, FNP 106 S Military St, Loretto, TN 38469-2100 Ph: (931) 853-4622 |
Ms. Emily V Gillespie, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 722 N. Military Ave., Loretto, TN 38469 Phone: 931-853-6970 Fax: 931-853-6974 | |
Mr. Jeffrey H Hernandez, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S Military St, Loretto, TN 38469 Phone: 931-853-4622 | |
Brittney Anne Shults, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 722 N Military St, Loretto, TN 38469 Phone: 931-853-4622 |