Individual provider · Type 1 NPI

Jackson Devine

Student in an Organized Health Care Education/Training Program · Laramie, WY

NPI number 1154251817 Active

Practice location

906 S 17th St
Laramie, WY 82070-4713

Call (307) 399-6397 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154251817

Jackson Devine's National Provider Identifier is 1154251817, issued on May 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Laramie, WY. The record was last updated on May 22, 2026.