Individual
THOMAS KERRY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
210 25TH AVE N STE 1204, NASHVILLE, TN 37203-1620
(615) 312-0600
(615) 320-3259
Mailing address
210 25TH AVE N STE 1204, NASHVILLE, TN 37203-1620
(615) 312-0600
(615) 320-3259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20982
TN
363LA2100X
Acute Care Nurse Practitioner
20982
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6063560
BCBS
TN
05
—
7100395260
—
KY
05
—
Q020111
—
TN
Enumeration date
02/26/2016
Last updated
03/02/2021
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