Individual ProviderDevan BlankenbakerRegistered NurseNursing Service ProvidersPractice Address3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283(843) 745-2184PECOS EnrollmentBased on the most recent information from CMS, provider Devan Blankenbaker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:07 PM.Profile DetailsProvider ID1194506956Provider TypeIndividualFull NameBlankenbaker, DevanGenderFemaleSole ProprietorYesEnumeration Date10/9/2023Last Updated10/9/2023Contact InformationPractice LocationPractice Address3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283Phone(843) 745-2184FaxUnlisted FaxMailing LocationMailing Address3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283Phone(843) 745-2184FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163WS0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense235815South Carolina