Provider Demographics
NPI:1013019488
Name:DEVEAU, JANE MCNAB (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:MCNAB
Last Name:DEVEAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANE
Other - Middle Name:DEVEAU
Other - Last Name:PUGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2632 DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-2030
Mailing Address - Country:US
Mailing Address - Phone:919-803-5747
Mailing Address - Fax:
Practice Address - Street 1:3305 SUNGATE BLVD
Practice Address - Street 2:RALEIGH CBOC - VAMC
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-2871
Practice Address - Country:US
Practice Address - Phone:919-212-0129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC97013162084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry