MEDICARE: MRS. JOANN WOODARD DEVANEY CRNP

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
1	363LA2100X	Acute Care Nurse Practitioner	1-083890	AL

General Provider Information

NPI Number	:	1801225651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOANN WOODARD DEVANEY CRNP

Provider Business Mailing Address
First Line	:	2016 STONEGATE TRL
Second Line	:	SUITE 112
City	:	VESTAVIA HLS
State	:	AL
Zip	:	35242-2260
Country	:	US
Telephone Number	:	205-545-9530
Fax Number	:	205-545-9529

Provider Business Practice Location Address
First Line	:	2016 STONEGATE TRL
Second Line	:	SUITE 112
City	:	VESTAVIA HLS
State	:	AL
Zip	:	35242-2260
Country	:	US
Telephone Number	:	205-545-9530
Fax Number	:	205-545-9529

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2013
Last Update Date	:	01/15/2016

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