Individual
JENNIFER DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1215 RIDGEWOOD DR, SUITE B, BOWLING GREEN, OH 43402-2690
(419) 352-9071
(419) 352-9073
Mailing address
745 HASKINS RD, SUITE B, BOWLING GREEN, OH 43402-1637
(419) 353-7069
(419) 353-7076
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA12594-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
09/01/2011
Last updated
06/15/2022
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