Healthcare Provider Details

I. General information

NPI: 1972239374
Provider Name (Legal Business Name): ZANA DEVLIN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5125 NC HIGHWAY 55 STE 106
DURHAM NC
27713-9689
US

IV. Provider business mailing address

4705 UNIVERSITY DR BLDG 700
DURHAM NC
27707-3489
US

V. Phone/Fax

Practice location:
  • Phone: 984-500-3165
  • Fax: 984-500-3166
Mailing address:
  • Phone: 919-237-1337
  • Fax: 919-237-1625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number001012971
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: