Provider Demographics
NPI:1578846127
Name:DEVAUGHN, ALEXANDRIA R (RN, WHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRIA
Middle Name:R
Last Name:DEVAUGHN
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Gender:F
Credentials:RN, WHNP-BC
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Mailing Address - Street 1:6300 W PARKER RD
Mailing Address - Street 2:BUILDING 2 SUITE 325
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8100
Mailing Address - Country:US
Mailing Address - Phone:972-981-3535
Mailing Address - Fax:972-981-3536
Practice Address - Street 1:6300 W PARKER RD
Practice Address - Street 2:BUILDING 2 SUITE 325
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8100
Practice Address - Country:US
Practice Address - Phone:972-981-3535
Practice Address - Fax:972-981-3536
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2018-01-02
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Provider Licenses
StateLicense IDTaxonomies
TX732773363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health