Nikki Lee Davenport
AMG-CROCKETT, LLC


Address: 106 S Military St, B, Loretto, TN 38469-2100
Phone: 9318534622

Nikki Lee Davenport (NPI# 1932610367, PAC ID# 1658639786) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1932610367
PAC ID by PECOS 1658639786
Professional Enrollment ID I20171219003247
Full Name Nikki Lee Davenport
Organization Legal Name AMG-CROCKETT, LLC
Address 106 S Military St
B
Loretto
TN 38469-2100
Phone Number 9318534622
Gender F
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4789770199
Number of Group Practice Members 19
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
440175 SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE

Other Locations

Address Phone Organization
106 S Military St, B, Loretto, TN 38469-2100 9318534622 AMG-CROCKETT, LLC

Organization Information

Organization Legal Name AMG-CROCKETT, LLC
Physicians 27

Physicians with the same organization

Name Specialty Organization Address
Racheal M Kightlinger Nurse Practitioner Amg-crockett, LLC 2019 N Locust Ave, Lawrenceburg, TN 38464-2337
John P. Kristofich Cardiovascular Disease (cardiology) Amg-crockett, LLC 1611 S Locust Ave, Suite 200b, Lawrenceburg, TN 38464-4055
Alvin Matthew Maliakal Internal Medicine Amg-crockett, LLC 184 Prosser Rd, Lawrenceburg, TN 38464-4233
Katrina M. Dial Certified Nurse Midwife (cnm) Amg-crockett, LLC 1605 S Locust Ave, Suite 101, Lawrenceburg, TN 38464-4053
Tracey K Williams Nurse Practitioner Amg-crockett, LLC 4955d Hwy 43 N, Mount Pleasant, TN 38474-5010
Norman Mcnulty Neurology Amg-crockett, LLC 1321 S Locust Ave, Lawrenceburg, TN 38464-4040
Elbert G Warren Obstetrics/gynecology Amg-crockett, LLC 106 S Military St, B, Loretto, TN 38469-2100
Haley Beecham Phillips Nurse Practitioner Amg-crockett, LLC 2019 N Locust Ave, Lawrenceburg, TN 38464-2337
Amanda D Haneline Obstetrics/gynecology Amg-crockett, LLC 1605 S Locust Ave, Lawrenceburg, TN 38464-4053
Brooke Huffsmith Obstetrics/gynecology Amg-crockett, LLC 1605 S Locust Ave, Lawrenceburg, TN 38464-4053

Office Location

Street Address 106 S MILITARY ST
B
City LORETTO
State TN
Zip 38469-2100

Physicians in the same location

Name Specialty Organization Address
Elbert G Warren Obstetrics/gynecology Amg-crockett, LLC 106 S Military St, B, Loretto, TN 38469-2100
Marie Mattei-weiland Nurse Practitioner Amg-crockett, LLC 106 S Military St, B, Loretto, TN 38469-2100
Kelly C Baldwin Urology Amg-crockett, LLC 106 S Military St, B, Loretto, TN 38469-2100
Whitney Brooke Franklin Nurse Practitioner Amg-crockett, LLC 106 S Military St, B, Loretto, TN 38469-2100
William L Fontenot Orthopedic Surgery Amg-crockett, LLC 106 S Military St, B, Loretto, TN 38469-2100
Clayton D. Wilson Family Practice Amg-crockett, LLC 106 S Military St, Loretto, TN 38469-2100
Monica L Newton Nurse Practitioner Amg-crockett, LLC 106 S Military St, Loretto, TN 38469-2100
Jeffrey H Hernandez Nurse Practitioner Amg-crockett, LLC 106 S Military St, B, Loretto, TN 38469-2100

Physicians in the same zip code

Name Specialty Organization Address
Matthew E Schantz Family Medicine 206 S Military St, Suite 1, Loretto, TN 38469-2101
Emily V Gillespie Nurse Practitioner Ecm Health Group LLC 722 N Military St, Loretto, TN 38469-2336
Steven N Mashburn Nurse Practitioner Ecm Health Group LLC 722 N Military St, Loretto, TN 38469-2336
Johnathon L Jacobs Ii Chiropractic Loretto Family Chiropractic 607 A N Military St, Loretto, TN 38469-2341
Chasy Jacobs Chiropractic Loretto Family Chiropractic 607 A N Military St, Loretto, TN 38469-2341

Competitor

Search similar physicians

City LORETTO
Zip Code 38469
Specialty NURSE PRACTITIONER
City + Specialty LORETTO + NURSE PRACTITIONER

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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