Provider Demographics
NPI:1881619252
Name:DEVECHIO, ALLISON KNOX (NP)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:KNOX
Last Name:DEVECHIO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:KNOX
Other - Last Name:CHEEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:718 CEDAR POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:CEDAR POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28584-8012
Mailing Address - Country:US
Mailing Address - Phone:252-393-6543
Mailing Address - Fax:252-364-3128
Practice Address - Street 1:3085 RICHLANDS HWY STE 4
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-2977
Practice Address - Country:US
Practice Address - Phone:910-939-4848
Practice Address - Fax:910-939-4859
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3400042Medicaid
NC3406870OtherAMBULANCE MEDICAID
NC562014989OtherTRICARE
NC00007OtherBC
NC562014989OtherTRICARE
NCP55461Medicare UPIN