Organization
EVERGREEN CLINI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY STEVENS (ADMINISTRATION)
(662) 963-9154
Entity
Organization
Contact information
Practice address
4929 HIGHWAY 371 S, NETTLETON, MS 38858-6901
(662) 963-9154
(662) 963-9157
Mailing address
4929 HIGHWAY 371 S, NETTLETON, MS 38858-6901
(662) 963-9154
(662) 963-9157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013494
—
MS
Enumeration date
07/18/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us