Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE ANN DAVENPORT
NPI 1689571309
Nurse Practitioner in Johnson City, TN

Q: What is Nicole Davenport's NPI number?

The NPI number for Nicole Davenport is 1689571309. It was assigned to this individual provider in the NPPES registry on October 26, 2026.

Q: What is Nicole Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Davenport was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 26, 2026

310 N STATE OF FRANKLIN RD STE 202, JOHNSON CITY, TN 37604(423) 929-7111 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Nicole Ann Davenport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ANN DAVENPORT (NPI 1689571309) is an individual nurse practitioner in Johnson City, Tennessee, licensed in Tennessee (43271) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1689571309

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE ANN DAVENPORT

Location Address310 N STATE OF FRANKLIN RD STE 202Johnson City, TN 37604-6063

Mailing Address310 N State Of Franklin Rd Ste 202Johnson City, TN 37604-6063 · (423) 929-7111

Phone(423) 929-7111

Sole ProprietorNo

Enumeration DateOctober 26, 2026

NPPES CertifiedOctober 25, 2026

✔ NPI 1689571309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 43271

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

310 N STATE OF FRANKLIN RD STE 202, Johnson City, TN 37604

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TENNESSEE VALLEY ANESTHESIA ASSOCIATES, LLC

Nurse Anesthetist, Certified Registered