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Individual

MRS. STEPHANIE GALE DEVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP-PC, NNP-BC

Contact information

Practice address
52 JOHNNY WORTHAM RD, NEWNAN, GA 30263-4823
(678) 859-8441
Mailing address
52 JOHNNY WORTHAM RD, NEWNAN, GA 30263-4823
(678) 859-8441

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN160287
GA
363LP0200X
Pediatric Nurse Practitioner
RN160287
GA

Other

Enumeration date
02/19/2017
Last updated
06/15/2020
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