Individual
HANNAH WALDRIP DEVAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
107 EUREKA ST, BATESVILLE, MS 38606-2533
(662) 563-6000
(662) 563-2200
Mailing address
107 EUREKA ST, BATESVILLE, MS 38606-2533
(662) 563-6000
(662) 563-2200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
904010
MS
363LA2200X
Adult Health Nurse Practitioner
Primary
904174
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/12/2019
Last updated
01/15/2021
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