| Doctor Name: | DAVENNA MCGLONE |
| NPI Number: | 1144285032 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C.F.N.P. |
| License Number: | 0001093894 |
| Business Practice Address: | 576 Jefferson Ave Mcdonald Army Community Health Center Fort Eustis, VA - 23604 |
| Business Phone Number: | 7573147583 |
| Business Fax Number: | 7573147655 |
| Mailing Address: | 6 Bexley Ln, HAMPTON |
| State: | VA |
| Postal Code: | 236665335 |
| Phone Number: | 7577669220 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2006 |
| NPI Last Update Date: | 07/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0001093894 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |