Individual
ADRIANNE MICHELLE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
102 KINGS XING, CANTON, MS 39046-5370
(662) 310-6195
Mailing address
102 KINGS XING, CANTON, MS 39046-5370
(662) 310-6195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906192
MS
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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