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Individual

FUSUN DEVOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1010 COLLEGE ST, OXFORD, NC 27565-2507
(919) 287-2897
Mailing address
3408 S ATLANTIC AVE STE 14, DAYTONA BEACH, FL 32118-6311
(321) 213-9452
(321) 425-8530

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
785972
TX
163W00000X
Registered Nurse
820736
CA
363LF0000X
Family Nurse Practitioner
Primary
5011347
NC
363LF0000X
Family Nurse Practitioner
AP126685
TX
363LF0000X
Family Nurse Practitioner
ARNP9367087
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5011347
NURSE PRACTITIONER LICENSE
NC
Enumeration date
07/15/2014
Last updated
12/30/2021
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