Provider Demographics
NPI:1568981660
Name:DAVENPORT, FRANCESCA JEFFERSON
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:JEFFERSON
Last Name:DAVENPORT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANCESCA
Other - Middle Name:
Other - Last Name:JEFFERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:536 JONESBORO RD
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:LA
Mailing Address - Zip Code:71001-4534
Mailing Address - Country:US
Mailing Address - Phone:225-301-1236
Mailing Address - Fax:
Practice Address - Street 1:107 W ALABAMA AVE
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-4403
Practice Address - Country:US
Practice Address - Phone:318-224-7170
Practice Address - Fax:318-224-7063
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-11
Last Update Date:2017-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health