Individual
COURTNEY NICOLE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 RANSOM PLACE, NASHVILLE, TN 37217
(615) 279-6700
Mailing address
727 BELL RD, APT #204, ANTIOCH, TN 37013
(901) 428-7001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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