Individual
CARIE A EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
270 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2004
(618) 498-4166
(618) 639-7997
Mailing address
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2000
(184) 987-5186
(618) 498-3052
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
144185
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
209006351
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134163827
GNPI
—
Enumeration date
07/26/2005
Last updated
11/13/2024
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