Jessica Davenport is one of 509 physician assistants practicing in Fort Worth, Texas .
Jessica Davenport practices with Michael H Boothby, MD, PA.
Registry record (NPPES)
NPI
1154116671
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
2901 Acme Brick Plz
Enumerated
Apr 14, 2025
Record last updated
Aug 18, 2026
License states listed
NULL
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
2901 Acme Brick PlzFort Worth , TX 76109
More physician assistants in Fort Worth
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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