Individual
EVELYN LEMA TANKOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MRN, APRN, AGNP-BC
Contact information
Practice address
7130 MOUNT ZION BLVD STE 14B, JONESBORO, GA 30236-2566
(770) 585-2384
(470) 288-0223
Mailing address
1975 HIGHWAY 54 W STE 205, PEACHTREE CITY, GA 30269-4794
(770) 585-2384
(470) 288-0223
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN118032
GA
163WG0600X
Gerontology Registered Nurse
RN118032
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN118032
GA
Other
Enumeration date
11/11/2020
Last updated
09/19/2025
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