Individual
MS. EVELYN FAYE SIMERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
243 CEDAR LN, BRISTOL, TN 37620-8162
(423) 878-8432
Mailing address
243 CEDAR LN, BRISTOL, TN 37620-8162
(423) 878-8432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4496989
TN
163WS0200X
School Registered Nurse
4496989
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4496989
NURSES LICENSE
TN
Enumeration date
09/25/2007
Last updated
09/25/2007
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