Individual
MS. EVELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
121 S VIRGIE ST, DREW, MS 38737-3334
(662) 745-2331
Mailing address
121 S VIRGIE ST, P.O. BOX 304, DREW, MS 38737-3334
(662) 745-2331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R547115
MS
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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