Individual
MRS. KIMBERLY NICOLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1400 BRADLEY LAKE BLVD, COLUMBUS, GA 31904-3688
(706) 256-2525
Mailing address
5401 WILMINGTON DR, COLUMBUS, GA 31907-1843
(334) 349-5691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN223205
GA
363LF0000X
Family Nurse Practitioner
Primary
RN223205
GA
Other
Enumeration date
03/22/2024
Last updated
08/02/2024
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