Individual
PAULA JANELL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 660-6229
(706) 660-6504
Mailing address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 660-6229
(706) 660-6504
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN050514
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522012087A
—
GA
05
—
522012087B
—
GA
Enumeration date
09/10/2008
Last updated
05/31/2012
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