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DEBRA K DEVELIN
234 MAGNOLIA DR RALEIGH MS 391536016
DEBRA K DEVELIN is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1710906268. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1951301753. The primary specialty is NURSE PRACTITIONER. The organization is MAGEE BENEVOLENT ASSOCIATION. The address is 234 MAGNOLIA DR, , RALEIGH, MS, 391536016. The zip code is 391536016.
|Nation Provider ID||1710906268|
|PAC ID by PECOS||1951301753|
|Professional Enrollment ID||I20081028000569|
|Name||DEBRA K DEVELIN|
|Medical School Name||OTHER|
|Primary Specialty||NURSE PRACTITIONER|
|All secondary specialties|
|Organization Name||MAGEE BENEVOLENT ASSOCIATION|
|Group Practice PAC ID||3678466463|
|Number of Group Practice members||12|
|Address||234 MAGNOLIA DR, , RALEIGH, MS, 391536016|
|Hospital affiliation LBN||MAGEE BENEVOLENT ASSOCIATION|