Provider Demographics
NPI:1265253942
Name:SHIFLETT, DEVYN HAAS (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DEVYN
Middle Name:HAAS
Last Name:SHIFLETT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 DONAHOO RD SE
Mailing Address - Street 2:
Mailing Address - City:SILVER CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30173-2602
Mailing Address - Country:US
Mailing Address - Phone:706-506-8562
Mailing Address - Fax:
Practice Address - Street 1:1127 DONAHOO RD SE
Practice Address - Street 2:
Practice Address - City:SILVER CREEK
Practice Address - State:GA
Practice Address - Zip Code:30173-2602
Practice Address - Country:US
Practice Address - Phone:706-506-8562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN271616363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily