Laconda Davenport is a Long Beach, Mississippi based nurse practitioner with 14 years of experience in . She completed her graduation in 2011. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Laconda Davenport is 905253 for Family in Mississippi. Her current practice location is 110 E Railroad St, Long Beach. Patients can reach her at 228-678-7036. Laconda Davenport is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1629619770. Laconda Davenport has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Laconda 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:
Laconda Davenport
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
FNP
Experience:
14+ years
Medical School Attended:
Other
Graduation Year:
2011
Accepts Medicare Assignment:
Yes
Practice Address:
110 E Railroad St, Long Beach, Mississippi, 39560-4625
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:
4284020694
Enrollment ID:
I20220412002844
NPI Number:
1629619770
NPI Enumeration Date:
30 Sep, 2019
NPI Last Update On:
26 Jul, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Laconda Davenport are as mentioned below.
License Number
Specialization
State
Status
905253
Family
Mississippi
Primary
Student in an Organized Health Care Education/Training Program
Secondary
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 Laconda Davenport is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Fast Pace Mississippi Pllc (3678832029)
121
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Laconda Davenport Po Box 1503, Gautier, Mississippi
Zip:
39553-0019
Phone Number:
228-209-2694
Patients can reach Laconda Davenport at 110 E Railroad St, Long Beach, Mississippi or can call to book an appointment on 228-678-7036.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.