Individual
MRS. JESSICA LYNNE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2570 HAYMAKER RD, MONROEVILLE, PA 15146-3513
(412) 578-5323
(412) 578-4981
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-6581
(412) 359-3483
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN577543
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102561490
—
PA
Enumeration date
02/08/2011
Last updated
10/06/2020
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