Individual
MS. RICKIESHA AMBREYANA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4231 MCMICHAEL AVE, SHREVEPORT, LA 71119-8205
(318) 347-7876
Mailing address
4231 MCMICHAEL AVE, SHREVEPORT, LA 71119-8205
(318) 347-7876
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
225740
LA
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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