Provider Demographics
NPI:1275405060
Name:JONES, DEVAN
Entity type:Individual
Prefix:
First Name:DEVAN
Middle Name:
Last Name:JONES
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1086 3RD ST
Mailing Address - Street 2:
Mailing Address - City:OCHLOCKNEE
Mailing Address - State:GA
Mailing Address - Zip Code:31773-3337
Mailing Address - Country:US
Mailing Address - Phone:229-289-2750
Mailing Address - Fax:888-665-6733
Practice Address - Street 1:1086 3RD ST
Practice Address - Street 2:
Practice Address - City:OCHLOCKNEE
Practice Address - State:GA
Practice Address - Zip Code:31773-3337
Practice Address - Country:US
Practice Address - Phone:229-289-2750
Practice Address - Fax:888-665-6733
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHCP013377374U00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide