Individual
DEVONN DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 GUS THOMASSON RD STE 102, MESQUITE, TX 75150-5417
(469) 730-0044
(469) 730-0046
Mailing address
2620 GUS THOMASSON RD STE 102, MESQUITE, TX 75150-5417
(469) 730-0044
(469) 730-0046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
633233
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP-144701
TX
Other
Enumeration date
12/07/2015
Last updated
10/22/2024
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