Jacob Davenport
Jacob Davenport is a Psychiatric/Mental Health Registered Nurse in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2025.
- Licensed in
- MI
- In the registry since
- 2025
Practice location Address checks out
3111 Electric AvePort Huron, MI 48060-8127
Phone: (810) 985-8900
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Registered Nurse (primary) | Taxonomy 163WP0808X · Licence 4704387820 (MI) |
|---|
Record details
| NPI number | 1275412355 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | September 2, 2025 |
| Last updated in NPPES | September 2, 2025 |
| Certification date | September 2, 2025 |
| Mailing address | 4036 Hill Dr Apt 202, Shelby Township, MI 48317-4810 |