Provider Demographics
NPI:1477228864
Name:FORDE, DEVONIE M (NP)
Entity Type:Individual
Prefix:MS
First Name:DEVONIE
Middle Name:M
Last Name:FORDE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9071 MILL CREEK RD APT 1414
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19054-4224
Mailing Address - Country:US
Mailing Address - Phone:160-967-2708
Mailing Address - Fax:
Practice Address - Street 1:54 ROBBINSVILLE ALLENTOWN RD
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-1625
Practice Address - Country:US
Practice Address - Phone:609-586-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01180300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily