Individual provider · Type 1 NPI
Malorie Devaughn, ACNPC-AG
Acute Care Nurse Practitioner · Corinth, MS
NPI number
1174070684
Active
Practice location
611 Alcorn Dr
Corinth, MS 38834-9321
Fax (662) 293-4323
Mailing address
PO Box 2040
Corinth, MS 38835-2040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 901724 (MS) |
| Gerontology Nurse Practitioner | 363LG0600X | 901724 (MS) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1174070684
Malorie Devaughn, ACNPC-AG's National Provider Identifier is 1174070684, issued on Sep 1, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Corinth, MS. The record was last updated on Sep 1, 2016.