Provider Demographics
NPI:1679331185
Name:BOVE, DEVIN KATHLEEN (FNP)
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:KATHLEEN
Last Name:BOVE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07732-1829
Mailing Address - Country:US
Mailing Address - Phone:732-272-4623
Mailing Address - Fax:
Practice Address - Street 1:141 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07732-1829
Practice Address - Country:US
Practice Address - Phone:732-272-4623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15023800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily