Elissa Jo Davenport
NP | Nurse Practitioner - Pediatrics | 12+ years Exp
8941 N Rodgers Ct Se, Caledonia
Michigan, 49316-8013
616-252-5300
Elissa Jo Davenport is a Caledonia, Michigan based nurse practitioner with 12 years of experience in Pediatrics. She completed her graduation in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Elissa Jo Davenport is 4704260086 for Pediatrics in Michigan. Her current practice location is 8941 N Rodgers Ct Se, Caledonia. Patients can reach her at 616-252-5300 or can fax her at 616-252-5390. Elissa Jo Davenport is NP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1962824375.
Elissa Jo Davenport specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Elissa Jo Davenport speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Elissa Jo Davenport |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 12+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2013 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 8941 N Rodgers Ct Se, Caledonia,
Michigan, 49316-8013 |
| Phone: | 616-252-5300 |
| Fax: | 616-252-5390 |
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.
| PAC ID: | 4981834462 |
| Enrollment ID: | I20140228001413 |
| NPI Number: | 1962824375 |
| NPI Enumeration Date: | 21 Jan, 2014 |
| NPI Last Update On: | 05 Feb, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elissa Jo Davenport are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704260086 | Pediatrics | Michigan | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Elissa Jo Davenport is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Metropolitan Hospital (5597651836) | 294 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Elissa Jo Davenport such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4704260086 | Other | Michigan | STATE LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Elissa Jo Davenport
5900 Byron Center Ave Sw, Medical Administration
Wyoming, Michigan |
| Zip: | 49519-9606 |
| Phone Number: | 616-252-3243 |
| Fax Number: | 616-252-0260 |
Patients can reach Elissa Jo Davenport at
8941 N Rodgers Ct Se, Caledonia, Michigan or can
call to book an appointment on 616-252-5300.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.