Individual
JOHN EVANS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 100, DOTHAN, AL 36301-3001
(334) 794-1148
(334) 793-1954
Mailing address
1118 ROSS CLARK CIR, SUITE 100, DOTHAN, AL 36301-3001
(334) 794-1148
(334) 793-1954
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-058261
AL
363LG0600X
Gerontology Nurse Practitioner
1-058261
AL
363LP2300X
Primary Care Nurse Practitioner
1-058261
AL
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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