Individual
MALORIE DEVAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1000
(662) 293-4323
Mailing address
PO BOX 2040, CORINTH, MS 38835-2040
(662) 293-1000
(662) 293-4323
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
901724
MS
363LG0600X
Gerontology Nurse Practitioner
901724
MS
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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