Devin, Jerilyn A

Devin, Jerilyn A is an individual health care provider with primary practice located at 1 Hoppin St Coro West, Providence RI 02903-4141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Devin, Jerilyn A can be contacted via phone (401) 793-8569.

Contact Information

Primary practice address
1 Hoppin St Coro West Providence RI 02903-4141
Phone: (401) 793-8569
Fax: (401) 793-8561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP37167 Rhode Island

Profile Details

NPI number 1477509081
LBN Legal business name Devin, Jerilyn A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Feb 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477509081 NPPES
Rhode Island MEDICAID 7010563

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