NPI Profile for MALORIE DEVAUGHN in CORINTH, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI Number | 1174070684 |
|
| Status | Active | |
| Credentials | ACNPC-AG | |
| Entity | Individual | |
| Enumeration date | 09/01/2016 | |
| Last updated | 09/01/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MALORIE DEVAUGHN
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