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JAY DE VERA
NPI 1366870347
Specialist in Clinton, NC

Active since October 29, 2013
417 W ELIZABETH ST APT A, CLINTON, NC 28328(443) 562-7065 Get Directions Write a Review

NPPES record last updated: October 29, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jay De Vera NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY DE VERA (NPI 1366870347) is an individual specialist in Clinton, North Carolina, licensed in North Carolina (P12962) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1366870347
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJAY DE VERA
Location Address417 W ELIZABETH ST APT AClinton, NC 28328-4465
Mailing Address417 W Elizabeth St Apt AClinton, NC 28328-4465 · (443) 562-7065
Phone(443) 562-7065
Sole ProprietorYes
Enumeration DateOctober 29, 2013
✔ NPI 1366870347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · P12962
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
417 W ELIZABETH ST APT A, Clinton, NC 28328
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay De Vera's NPI number?

The NPI number for Jay De Vera is 1366870347. It was assigned to this individual provider in the NPPES registry on October 29, 2013.

Where is Jay De Vera located?

Jay De Vera practices at 417 W Elizabeth St Apt A, Clinton, NC 28328. The listed phone number is (443) 562-7065.

What is Jay De Vera's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jay De Vera was last updated on October 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.