JACEY LAINE DEVAUGHN NP NPI 1437760097

NPI Information

Jacey Laine Devaughn, NP is a family nurse practitioner in Augusta, GA with 4 years of experience. Jacey Laine Devaughn, NP NPI is 1437760097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1411 LANEY WALKER BLVD
AUGUSTA, GA
ZIP 30912-788
Phone: (706) 721-2505
Fax: (706) 721-5566

The NPI 1437760097 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2020 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.