Jillian Renee Davenport
M.D. | Pediatrics | Female
Jillian Renee Davenport, M.D. is a Pismo Beach, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jillian Renee Davenport is
2 James Way Ste 209, Pismo Beach, California - 93449-4976. She can be contacted on phone at
805-549-6915.
Jillian Renee Davenport is a sole proprietor of her business.
NPI number (Unique professional ID) for Jillian Renee Davenport is
1093133340 which was assigned by NPPES on 03 Apr, 2014 and it was last updated on 22 Dec, 2022.
Jillian Renee Davenport license number is
140588 for Pediatrics (208000000X) in California.
Jillian Renee Davenport is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jillian Renee Davenport basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Jillian Renee Davenport |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Jillian Renee Davenport address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2 James Way Ste 209
Pismo Beach, CA, 93449-4976
United States |
|---|
| Phone Number : | 805-549-6915 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1093133340 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 03 Apr, 2014 |
|---|
| Last Updated On : | 22 Dec, 2022 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jillian Renee Davenport are as mentioned. Primary taxonomy code for Jillian Renee Davenport, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 140588 | CA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
260 STATION WAY,
ARROYO GRANDE, CA, 93420-3359
United States | ARROYO GRANDE, CA | 805-473-6201 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2 James Way Ste 209
Pismo Beach, CA, 93449-4976
United States |
|---|
| Phone Number : | 805-549-6915 |
|---|
| Fax Number : | 805-549-6916 |
|---|
Business Location:
Patients can refer following map for directions to
Jillian Renee Davenport practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.