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General NPI Number Information
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NPI Number | 1932610367
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Entity Type | Individual
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Provider Name | NIKKI LEE DAVENPORT FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/12/2017
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 120 S LOCUST ST
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City | FLORENCE
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State | AL
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Zip | 35630-5510
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Country | US
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Telephone | 256-320-7781
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Fax |
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Provider Business Mailing Address
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Address Line | 501 UNION ST STE 545
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City | NASHVILLE
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State | TN
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Zip | 37219-1876
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Country | US
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Telephone | 931-223-6659
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 23085
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3-001771
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3-001771
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 23085
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License Number State | TN
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