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Individual

ANGELA S EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1901 S SHADY ST, MOUNTAIN CITY, TN 37683-2021
(423) 727-1150
(423) 727-1152
Mailing address
PO BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4059
(423) 439-5780

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
217164
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30981
TN

Other

Enumeration date
08/31/2021
Last updated
07/13/2022
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