Individual
JILL NICHOLSON EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4717 MAIN ST, HODGES, SC 29653-9225
(864) 374-5000
Mailing address
4717 MAIN ST, HODGES, SC 29653-9225
(864) 374-5000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
87577
SC
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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