Individual
MRS. ROSE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
1011 PINECREST DR, MCCOMB, MS 39648-8285
(601) 249-5500
(601) 249-1853
Mailing address
1011 PINECREST DR, MCCOMB, MS 39648-8285
(601) 249-5500
(601) 249-1853
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R850860
MS
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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