Individual
EBONY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-FNP
Contact information
Practice address
734 W MONROE ST, MEXICO, MO 65265-1970
(314) 853-9439
Mailing address
734 W MONROE ST, MEXICO, MO 65265-1970
(314) 853-9439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019039223
MO
Other
Enumeration date
01/07/2019
Last updated
12/03/2019
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