Individual
JANNA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 COMMERCIAL CENTER DR, MARION, AR 72364-9492
(870) 735-4441
Mailing address
172 POPLAR LAKE DR, MARION, AR 72364-9454
(870) 635-0591
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
R068897
AR
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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