Individual
ANGELINA DENISE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 202-3860
(904) 202-3846
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN2835902
FL
363LF0000X
Family Nurse Practitioner
2835902
FL
363LF0000X
Family Nurse Practitioner
APRN2835902
FL
Other
Enumeration date
06/07/2007
Last updated
10/03/2024
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