Healthcare Provider Details

I. General information

NPI: 1942422571
Provider Name (Legal Business Name): DIANA SHAWN DEVINEY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 S 17TH ST
WILMINGTON NC
28401-7542
US

IV. Provider business mailing address

1850 W ARLINGTON BLVD
GREENVILLE NC
27834-5704
US

V. Phone/Fax

Practice location:
  • Phone: 910-815-5190
  • Fax: 910-815-0840
Mailing address:
  • Phone: 252-752-6101
  • Fax: 252-752-3977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5024761
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number289
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number84
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number10156
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: