Provider Demographics
NPI:1326701251
Name:DEVOL, SUMMER E (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:E
Last Name:DEVOL
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26104-2526
Mailing Address - Country:US
Mailing Address - Phone:304-865-5444
Mailing Address - Fax:304-865-5445
Practice Address - Street 1:911 EMERSON AVE
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26104-2526
Practice Address - Country:US
Practice Address - Phone:304-865-5444
Practice Address - Fax:304-865-5445
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH334437163W00000X
WV72717163W00000X
OH0030259363LP0808X
WV110761363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse