Provider Demographics
NPI:1215626254
Name:MCDEVITT, JOANNE PACIENTE (RN,BSN)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:PACIENTE
Last Name:MCDEVITT
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4674 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-4319
Mailing Address - Country:US
Mailing Address - Phone:484-557-8742
Mailing Address - Fax:
Practice Address - Street 1:4674 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4319
Practice Address - Country:US
Practice Address - Phone:484-557-8742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN583223163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice