Individual
SAMUEL L. EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
311 BOONE STATION RD, SHELBYVILLE, KY 40065-8673
(502) 437-8000
Mailing address
4007 LAKE RIDGE WAY, CRESTWOOD, KY 40014-7762
(502) 889-0942
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008091
KY
Other
Enumeration date
05/10/2013
Last updated
02/08/2021
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