Individual
NIKIYA SHANTA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(800) 805-6989
Mailing address
119 AUGUSTA PLANTATION DR UNIT J, MYRTLE BEACH, SC 29579-6440
(843) 685-2655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12250286
SC
Other
Enumeration date
09/26/2022
Last updated
12/13/2025
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