Individual
MRS. ELIZABETH L EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-1641
(662) 756-1696
Mailing address
PO BOX 369, 840 NORTH OAK AVE., RULEVILLE, MS 38771-0369
(662) 756-1641
(662) 756-1696
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
901870
MS
363LG0600X
Gerontology Nurse Practitioner
Primary
901870
MS
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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