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Individual
MR. JOHN DEVINE
Active
Individual
MR. JOHN DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP017626
PA
363LA2200X
Adult Health Nurse Practitioner
SP017626
PA
363LG0600X
Gerontology Nurse Practitioner
SP017626
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01294100
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP017626
PA
Other
Enumeration date
07/21/2017
Last updated
06/26/2025
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