Individual
TASHA DEVEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
717 POPLAR ST, ELIZABETHTON, TN 37643-2152
(423) 782-7994
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
40488
TN
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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