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

Samuel V Davenport, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1083616056

Samuel V Davenport, CRNA is a Certified Registered Nurse Anesthetist in Johnson City, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone: (423) 431-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Med Tech Pkwy, Johnson City, TN 37604-2277 — (423) 302-1000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN0000104846 (TN)

Record details

NPI number1083616056
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESApril 24, 2019

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