Individual provider · Type 1 NPI

Kelsey B. Devault, NP

Family Nurse Practitioner · Johnson City, TN

NPI number 1134714090 Active

Practice location

121 Boone Ridge Dr Ste 1004
Johnson City, TN 37615-4993

Fax (423) 232-8583

Mailing address

PO Box 632476
Cincinnati, OH 45263-2476

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X29146 (TN)
Family Nurse Practitioner Primary 363LF0000X29146 (TN)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1134714090

Kelsey B. Devault, NP's National Provider Identifier is 1134714090, issued on Mar 3, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Johnson City, TN. The record was last updated on Feb 19, 2025.