Provider Demographics
NPI:1861648883
Name:DEVOE, JACQUELINE R (FNP)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:R
Last Name:DEVOE
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:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-0040
Mailing Address - Country:US
Mailing Address - Phone:207-498-2359
Mailing Address - Fax:207-498-3947
Practice Address - Street 1:6 N CAROLINA RD
Practice Address - Street 2:SUITE B
Practice Address - City:LIMESTONE
Practice Address - State:ME
Practice Address - Zip Code:04750-6145
Practice Address - Country:US
Practice Address - Phone:207-328-4631
Practice Address - Fax:207-328-4640
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER013185363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily