NPI 1487117131

Leonard Jason Davenport

Practitioner Home Health Aide Harrisburg, PA

Practice location

Address: 3109 Braeburn Ln, Harrisburg, PA 17110-9117
Phone: (717) 319-6641

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence 41083601 (PA)

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Registry record

NPI: 1487117131
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2019
Record last updated: 10 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.