Individual provider · Type 1 NPI

Jacob Rodney Devine, MD

Student in an Organized Health Care Education/Training Program · Fargo, ND

NPI number 1730010174 Active

Practice location

5225 23rd Ave S
Fargo, ND 58104-7927

Call (701) 234-5933 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRL24499 (ND)

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 1730010174

Jacob Rodney Devine, MD's National Provider Identifier is 1730010174, issued on May 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fargo, ND. The record was last updated on May 26, 2026.