Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Davenport

Individual provider Registered Nurse · NPI 1124962113

Jacob Davenport is a Registered Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

4001 W McNichols Rd
Detroit, MI 48221-3038
Phone: (313) 993-1245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704354541 (MI)

Record details

NPI number1124962113
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2026
Last updated in NPPESApril 18, 2026
Certification dateApril 18, 2026

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