| Doctor Name: | DARCY JO DREVON |
| NPI Number: | 1083003784 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | COA 16733-NP |
| Business Practice Address: | 7452 Fulton Dr Nw Suite B Massillon, OH - 446469393 |
| Business Phone Number: | 3308334596 |
| Business Fax Number: | 3308331817 |
| Mailing Address: | 7452 Fulton Dr Nw, Suite B MASSILLON |
| State: | OH |
| Postal Code: | 446469393 |
| Phone Number: | 3308334596 |
| Fax Number: | 3308331817 |
| NPI Enumeration Date: | 01/19/2015 |
| NPI Last Update Date: | 01/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA 16733-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |