Provider Demographics
NPI:1366063117
Name:DRUMMONDS, DEVINA A
Entity type:Individual
Prefix:
First Name:DEVINA
Middle Name:A
Last Name:DRUMMONDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 KETTERING RD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33897-7740
Mailing Address - Country:US
Mailing Address - Phone:352-933-3017
Mailing Address - Fax:888-522-5948
Practice Address - Street 1:347 KETTERING RD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33897-7740
Practice Address - Country:US
Practice Address - Phone:352-933-3017
Practice Address - Fax:888-522-5948
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-04
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL376K00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty