Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nathan J Davenport, ANP-C

Individual provider Adult Health Nurse Practitioner · NPI 1700156320

Nathan J Davenport, ANP-C is a Nurse Practitioner in Richmond, Virginia. Qualified in 2011, 15 years ago. Practices with SE Virginia Value Based Care LLC, a 156-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
15
Licensed in
VA
In the registry since
2012
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Practice location Address checks out

1250 E Marshall St Internal Medicine
Richmond, VA 23298-5051
Phone: (804) 828-0644
Fax: (804) 828-4707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 0024169750 (VA)

Record details

NPI number1700156320
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP-C
Sole proprietorNo
NPI enumeratedJanuary 12, 2012
Last updated in NPPESApril 30, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Se Virginia Value Based Care Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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