Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Devan Thomas Wise

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811520141

Devan Thomas Wise is a Student in an Organized Health Care Education/Training Program in Lynchburg, Virginia. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

3100 Weeping Willow Dr Apt J
Lynchburg, VA 24501-3972
Phone: (828) 545-8859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1811520141
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 14, 2020
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020
Mailing address3100 Weeping Willow Dr Apt J, Lynchburg, VA 24501-3972

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