JACEY LAINE DEVAUGHN

AUGUSTA, GA
NPI1437760097
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN258788)
Enumeration Date2020-08-16
Last Update Date2024-04-25
Business Address
JACEY LAINE DEVAUGHN NP
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912-4788
Phone number: 706-721-2505
Mailing Address
JACEY LAINE DEVAUGHN NP
PO BOX 925
AUGUSTA, GA 30903-0925
Phone number: 706-854-6008
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