Doctor Name: | CORINNE KRYSTINE DEVLIN |
NPI Number: | 1578523403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | RN090253 NP |
Business Practice Address: | 1585 3rd St Fort Polk, LA - 714595102 |
Business Phone Number: | 3375313107 |
Business Fax Number: | |
Mailing Address: | 1606 Charleston Pl, DERIDDER |
State: | LA |
Postal Code: | 706342927 |
Phone Number: | 3374625826 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN090253 NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |