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Individual
MELISSA SUE EVANS
Active
Individual
MELISSA SUE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
26NJ00553200
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00553200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26 NJ00553200
NURSING,ADVANCED PRACTICE NURSE
NJ
Enumeration date
02/18/2015
Last updated
11/12/2019
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