Provider Demographics
NPI:1851064323
Name:DEVAN, JOCELYN L
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:L
Last Name:DEVAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5956 STATE ROUTE 534
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:OH
Mailing Address - Zip Code:44099-9797
Mailing Address - Country:US
Mailing Address - Phone:440-650-4097
Mailing Address - Fax:
Practice Address - Street 1:5956 STATE ROUTE 534
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:OH
Practice Address - Zip Code:44099-9797
Practice Address - Country:US
Practice Address - Phone:440-650-4097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-29
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide