Provider Demographics
NPI:1518763838
Name:DEVOTED NURSING CARE
Entity type:Organization
Organization Name:DEVOTED NURSING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITONER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEVETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:662-633-7282
Mailing Address - Street 1:PO BOX 423
Mailing Address - Street 2:
Mailing Address - City:PICKENS
Mailing Address - State:MS
Mailing Address - Zip Code:39146-0423
Mailing Address - Country:US
Mailing Address - Phone:662-633-7282
Mailing Address - Fax:
Practice Address - Street 1:122 E ACADEMY ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-4502
Practice Address - Country:US
Practice Address - Phone:601-859-8992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center