Provider Demographics
NPI:1720443641
Name:DAVENPORT, AMY FALINE (CNM, MSN)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:FALINE
Last Name:DAVENPORT
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Gender:F
Credentials:CNM, MSN
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Mailing Address - Street 1:4011 OLD CLINIC CLB # 7570
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7570
Mailing Address - Country:US
Mailing Address - Phone:984-843-2490
Mailing Address - Fax:919-843-6938
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:UNC HOSPITALS
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:984-843-7005
Practice Address - Fax:984-843-9540
Is Sole Proprietor?:No
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
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Provider Licenses
StateLicense IDTaxonomies
NC244011367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife