Individual
MISS ADRIENNE LEIGH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 884-7100
(573) 884-7706
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019042774
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220079046
—
MO
Enumeration date
11/14/2019
Last updated
06/15/2022
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