Jerry M. Davenport, D. O.
Family Medicine · Nome, AK
UnclaimedD. O.NPI 1003935453
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2007-03-28
- Practice location
- Nome, AK
- Last NPPES update
- 2011-01-26
State licenses
- AK · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.