Individual
REBECCA BERRIER EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP-BC
Contact information
Practice address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(770) 382-5611
(770) 382-8381
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN145456
GA
367A00000X
Advanced Practice Midwife
Primary
RN145456
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173206867L
—
GA
05
—
173206867M
—
GA
05
—
173206867N
—
GA
Enumeration date
08/24/2005
Last updated
04/18/2013
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