Individual
MRS. NICOLETTE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
105 UNION AVE, BRIELLE, NJ 08730-1842
(732) 800-3201
Mailing address
558 CARROLL FOX RD, BRICK, NJ 08724-4633
(732) 850-6713
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ15203400
NJ
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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