Individual provider · Type 1 NPI
Jay De Vera
Specialist · Clinton, NC
NPI number
1366870347
Active
Practice location
417 W Elizabeth St Apt A
Clinton, NC 28328-4465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | P12962 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Clinton
About NPI 1366870347
Jay De Vera's National Provider Identifier is 1366870347, issued on Oct 29, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Clinton, NC. The record was last updated on Oct 29, 2013.