Mike S Davenport, FNP
Mike S Davenport, FNP is a Nurse Practitioner in Mc Leansboro, Illinois. Qualified in 1999, 27 years ago. Practices with Eldorado Emergency Group PC, a 14-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 27
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- FNP — Family Nurse Practitioner
- A nurse practitioner who treats patients of all ages, much like a family doctor.
Practice location Address checks out
206 S Washington StMc Leansboro, IL 62859-1139
Phone: (618) 643-2835
Fax: (618) 643-2891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 209.005569 (IL) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 209.005569 (IL) |
Record details
| NPI number | 1295789576 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | FNP |
| Sole proprietor | No |
| NPI enumerated | May 20, 2006 |
| Last updated in NPPES | April 22, 2022 |
| Certification date | April 22, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Eldorado Emergency Group Pc — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mc Leansboro
-
Mrs. Rene L Bernard, FNP
104 E Market St, Mc Leansboro, IL 62859-1317 · (618) 643-3051
-
Grace Healthcare Services, LLC
104 E Market St, Mc Leansboro, IL 62859-1317 · (618) 643-3051
-
Melyssa Gayle Wiggins, FNP
208 S Washington St, Mc Leansboro, IL 62859-1139 · (618) 643-2835
-
Jaydra Woods, APN, FNP-C
PO Box 429, Mc Leansboro, IL 62859-0429 · (618) 643-2361