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General NPI Number Information
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NPI Number | 1316464266
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Entity Type | Individual
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Provider Name | DEVEN FEJKA CAMERON FNP-C, PMHNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 862 BROWNSWITCH RD
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City | SLIDELL
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State | LA
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Zip | 70458-5334
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Country | US
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Telephone | 985-788-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 204 SHAWTOWN RD
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City | PERKINSTON
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State | MS
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Zip | 39573-4302
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Country | US
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Telephone | 601-916-0665
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 902233
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP09742
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP09742
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 902233
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License Number State | MS
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