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

Jay De Vera

Individual provider Specialist · NPI 1366870347

Jay De Vera is a Specialist in Clinton, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2013
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Practice location Address checks out

417 W Elizabeth St Apt A
Clinton, NC 28328-4465
Phone: (443) 562-7065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence P12962 (NC)

Record details

NPI number1366870347
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 29, 2013
Last updated in NPPESOctober 29, 2013
Mailing address417 W Elizabeth St Apt A, Clinton, NC 28328-4465

Other providers in Clinton