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BRUCE DAVENPORT
NPI 1790552255
Counselor - Professional in Jefferson City, TN

Active since December 05, 2023
1820 PAUL DR, JEFFERSON CITY, TN 37760(423) 312-4687 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bruce Davenport NPPES

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

BRUCE DAVENPORT (NPI 1790552255) is an individual professional provider in Jefferson City, Tennessee, licensed in Tennessee (LPC0000000729) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1790552255
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRUCE DAVENPORT
Location Address1820 PAUL DRJefferson City, TN 37760-5229
Mailing Address1820 Paul DrJefferson City, TN 37760-5229 · (423) 312-4687
Phone(423) 312-4687
Sole ProprietorYes
Enumeration DateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
✔ NPI 1790552255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · LPC0000000729
1820 PAUL DR, Jefferson City, TN 37760
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Davenport's NPI number?

The NPI number for Bruce Davenport is 1790552255. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Where is Bruce Davenport located?

Bruce Davenport practices at 1820 Paul Dr, Jefferson City, TN 37760. The listed phone number is (423) 312-4687.

What is Bruce Davenport's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Bruce Davenport was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.