MRS. MYRTLE HOWARD DAVENPORT NP-C PMHNP-BC NPI 1710402979

NPI Information

  • NPI: 1710402979
  • Provider Name: MRS. MYRTLE HOWARD DAVENPORT, NP-C, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 831 FAIRWAYS CT
    STE #1
    STOCKBRIDGE, GA
    ZIP 30281
  • Phone: (404) 861-0827

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NPI Details

MRS. Myrtle Howard Davenport, NP-C, PMHNP-BC is a psychiatric/mental health nurse practitioner in Stockbridge, GA. MRS. Myrtle Howard Davenport, NP-C, PMHNP-BC NPI is 1710402979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

831 FAIRWAYS CT
STE #1
STOCKBRIDGE, GA
ZIP 30281
Phone: (404) 861-0827

The NPI 1710402979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2017 and was last updated on 10/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareRN219619GEORGIANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthRN219619GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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