MEDICARE: ALLISON DAVENPORT PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	3057	TN

General Provider Information

NPI Number	:	1487100749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON DAVENPORT PA-C

Provider Business Mailing Address
First Line	:	1272 GARRISON DR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-2598
Country	:	US
Telephone Number	:	615-867-8080
Fax Number	:	615-867-7954

Provider Business Practice Location Address
First Line	:	1430 MEDICAL CENTER PKWY
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-2202
Country	:	US
Telephone Number	:	615-893-4480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2016
Last Update Date	:	01/23/2026

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