Autumn Davenport
Community Health Worker in Pontiac, MI. Individual provider (NPI-1).
NPI number1033063524
StatusActive
Last updated in NPPESJun 16, 2026
Details
- NPI
- 1033063524
- Entity type
- Individual (NPI-1)
- Name
- Autumn Davenport
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2026
- Certification date
- Jun 16, 2026
- Last updated
- Jun 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | 20260129 | MI | Yes |
Practice location
1685 Baldwin Ave Ste 100Pontiac, MI 48340-1242
Phone 248-606-9118
Mailing address
1685 Baldwin Ave Ste 100Pontiac, MI 48340-1242
Phone 248-606-9118
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