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Individual

MR. JASON SCOTT DEVOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGNP-C

Contact information

Practice address
4334 DUNRIVER DR SW, LILBURN, GA 30047-4219
(770) 621-4150
Mailing address
4334 DUNRIVER DR SW, LILBURN, GA 30047-4219
(770) 621-4150

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
195605
GA
363LG0600X
Gerontology Nurse Practitioner
195605
GA

Other

Enumeration date
04/18/2017
Last updated
04/18/2017
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