Individual
JEAN L. DEVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 ATWOOD ST, PROVIDENCE, RI 02909-3410
(401) 444-0590
(401) 396-2084
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD20695
RI
390200000X
Student in an Organized Health Care Education/Training Program
CLP05667
RI
390200000X
Student in an Organized Health Care Education/Training Program
LP05667
RI
Other
Enumeration date
06/14/2022
Last updated
07/07/2025
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