Individual
MISS MARISHA JONELLE DEVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105 GLENDALE VILLAGE LN, WALLACE, NC 28466-1651
(910) 627-6574
Mailing address
105 GLENDALE VILLAGE LN, WALLACE, NC 28466-1651
(910) 627-6574
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
379296
NC
171M00000X
Case Manager/Care Coordinator
—
NC
174400000X
Specialist
—
—
Other
Enumeration date
08/24/2022
Last updated
07/16/2025
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