Rachel Lynn Davenport, PMHNP | |
615 N Promenade St, Havana, IL 62644-1243 | |
(309) 543-6600 | |
(866) 950-0270 |
Full Name | Rachel Lynn Davenport |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 615 N Promenade St, Havana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528841582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209027879 (Illinois) | Primary |
Entity Name | Mason Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902849649 PECOS PAC ID: 2466360607 Enrollment ID: O20040412000399 |
Mailing Address | Practice Location Address |
---|---|
Rachel Lynn Davenport, PMHNP 615 N Promenade St, Havana, IL 62644-1243 Ph: (309) 543-6600 | Rachel Lynn Davenport, PMHNP 615 N Promenade St, Havana, IL 62644-1243 Ph: (309) 543-6600 |
Elizabeth Ballinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 E Main St, Havana, IL 62644 Phone: 217-685-2486 | |
Ashley Marmon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12528 Sr 78, Havana, IL 62644 Phone: 309-543-4253 Fax: 309-543-1060 | |
Kali Troxell, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 | |
Marsha R Kirchner, CF-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 Fax: 309-543-2089 | |
Kaitlyn Lee Fields, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 | |
Chase Holtman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 Fax: 309-543-2089 |