Provider Demographics
NPI:1114515947
Name:MCPHERSON, DEVON NICHOLE (CASE MANGER)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:NICHOLE
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:CASE MANGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 RIDGEWOOD DR APT G
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-2066
Mailing Address - Country:US
Mailing Address - Phone:740-434-8355
Mailing Address - Fax:
Practice Address - Street 1:280 RIDGEWOOD DR APT G
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-2066
Practice Address - Country:US
Practice Address - Phone:740-434-8355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management