Individual
DARCY JO DREVON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7452 FULTON DR NW, SUITE B, MASSILLON, OH 44646-9393
(330) 833-4596
(330) 833-1817
Mailing address
7452 FULTON DR NW, SUITE B, MASSILLON, OH 44646-9393
(330) 833-4596
(330) 833-1817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA 16733-NP
OH
Other
Enumeration date
01/19/2015
Last updated
11/30/2020
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