Provider Demographics
NPI:1558914507
Name:GOMPERTS, DEVON MARIE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:MARIE
Last Name:GOMPERTS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5236 W UNIVERSITY DR STE 3700
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-8123
Mailing Address - Country:US
Mailing Address - Phone:214-491-6070
Mailing Address - Fax:
Practice Address - Street 1:5236 W UNIVERSITY DR STE 3700
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-8123
Practice Address - Country:US
Practice Address - Phone:214-491-6070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142006363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care