NPI 1417672668

Devon Jermaine Richardson

Practitioner Nurse's Aide Humboldt, TN

Practice location

Address: 611 Etheridge St, Humboldt, TN 38343-2357
Phone: (731) 326-2705

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 149496 (TN)

Other Nurse's Aide providers in Tennessee →

Registry record

NPI: 1417672668
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2022
Record last updated: 10 Oct 2022

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.