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Individual

MRS. TERRI JEAN EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
4601 JFK BLVD STE 94025, NORTH LITTLE ROCK, AR 72116-7310
(501) 420-3703
Mailing address
PO BOX 94545, NORTH LITTLE ROCK, AR 72190-4545
(501) 420-3703

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R076851
AR
163WH0200X
Home Health Registered Nurse
Primary
R076851
AR

Other

Enumeration date
01/07/2018
Last updated
04/21/2020
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