Individual
NICHELLE YVETTE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3902 N 9TH AVE, PENSACOLA, FL 32503-2892
(850) 221-6504
Mailing address
3902 N 9TH AVE STE 3, PENSACOLA, FL 32503-2872
(850) 221-6504
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002180100
—
FL
Enumeration date
09/01/2020
Last updated
09/01/2020
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