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

Kelly Jane Devault, AS

Individual provider Nurse's Aide · NPI 1093574196

Kelly Jane Devault, AS is a Nurse's Aide in Blaine, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

880 Rutledge Pike
Blaine, TN 37709-2317
Phone: (865) 933-4110
Fax: (865) 933-4729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X

Record details

NPI number1093574196
Entity typeIndividual (Type 1)
GenderFemale
Credentials AS
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address1923 Sulphur Springs Rd, Morristown, TN 37813-5654

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