Individual
DEVIN BROOKE TETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 W WARD ST STE B, ASHEBORO, NC 27203-5423
(336) 702-1731
(336) 702-3014
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017571
NC
363LP2300X
Primary Care Nurse Practitioner
283851
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283851
RN
NC
01
—
5017571
NP
NC
Enumeration date
01/04/2023
Last updated
07/28/2025
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