Provider Demographics
NPI:1255056263
Name:DEVOE, TOWANA YONDORA (RN)
Entity type:Individual
Prefix:
First Name:TOWANA
Middle Name:YONDORA
Last Name:DEVOE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:TOWANA
Other - Middle Name:YONDORA
Other - Last Name:DEVOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6169 REMINGTON PARK
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-6454
Mailing Address - Country:US
Mailing Address - Phone:167-829-2851
Mailing Address - Fax:
Practice Address - Street 1:175 GWINNETT DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-8444
Practice Address - Country:US
Practice Address - Phone:678-209-2394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN285108163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse