NPI 1154251817

Jackson Devine

Practitioner Student in an Organized Health Care Education/Training Program Laramie, WY

Practice location

Address: 906 S 17th St, Laramie, WY 82070-4713
Phone: (307) 399-6397

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Wyoming →

Registry record

NPI: 1154251817
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2026
Record last updated: 22 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.