Individual
AMY L DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2500 PERES AVE, MEMPHIS, TN 38108-1660
(901) 515-5500
(901) 458-5591
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-8336
(901) 545-8122
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
8124
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010278317
—
VA
01
—
300917
ANTHEM CROSSOVER PN
VA
Enumeration date
08/08/2006
Last updated
08/13/2014
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