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NPI Code Detail

MEDICARE: JENESSA JEAN DEVINS FNP

MEDICARE: JENESSA JEAN DEVINS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerF359983-01NY

General Provider Information

NPI Number : 1417881418
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENESSA JEAN DEVINS FNP
Provider Business Mailing Address
First Line : 930 S SALINA ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13202-3530
Country : US
Telephone Number : 315-476-7921
Fax Number :
Provider Business Practice Location Address
First Line : 930 S SALINA ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13202-3530
Country : US
Telephone Number : 315-476-7921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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