MS. DEVONN LINDSEY BOURG (NPI# 1467919928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467919928 |
| Entity Type | Individual |
| Full Name | MS. DEVONN LINDSEY BOURG |
| Other Name | MISS DEVONN LINDSEY THOMPSON |
| Credential | MSN, ARNP, FNP-C |
| Practice Address |
5370 Lakewood Dr Milton FL 32570-6826 |
| Practice Telephone | 5068677338 |
| Mailing Telephone | 8506867733 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11001510 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5370 LAKEWOOD DR |
| City | MILTON |
| State | FL |
| Zip Code | 32570-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477765857 | Therese Eileen Goebel | Physical Therapist | 5370 Lakewood Dr, Milton, FL 32570-6826 | 2007-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730807 | Kaylin Marie Quinn | Nurse Practitioner | 4355 Glen Forest Dr, Milton, FL 32583-8239 | 2020-08-14 |
| 1861025496 | Alessia Armstrong Westry | Nurse Practitioner | 5138 Gardenbrook Blvd, Milton, FL 32570-2330 | 2020-02-21 |
| 1457851040 | Dzeneta Krndzija | Nurse Practitioner | 2980 Serenade Ct., Milton, GA 30004 | 2018-02-20 |
| 1245759778 | Shannon Barnes | Nurse Practitioner | 8941 Highway 90, Milton, FL 32583-3258 | 2017-09-15 |
| 1861847899 | Chaitali Patel | Nurse Practitioner | 2109 Greencrest Cir, Milton, GA 30004-3707 | 2016-04-27 |
| 1154788610 | Elizabeth Bowen | Nurse Practitioner | 475 Champions View Dr, Milton, GA 30004-6937 | 2016-01-28 |
| 1497140768 | Jennifer Haugen | Nurse Practitioner | 4244 Avalon Blvd, Milton, FL 32583-2808 | 2015-04-02 |
| 1679970669 | Caroline Sanders | Nurse Practitioner | 380 Sable Ct, Milton, GA 30004-8012 | 2014-11-19 |
| 1508115049 | Tamara Delphine Washington | Nurse Practitioner | 6501 Caroline St, Milton, FL 32570-4582 | 2012-08-30 |
| 1154624708 | Gregory Y Poythress | Nurse Practitioner | 5914 Jeff Ates Rd, Milton, FL 32583-8233 | 2010-12-20 |
| Find all providers in MILTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.