Individual
BROOK NICOLE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5821 FAIRVIEW RD STE 200, CHARLOTTE, NC 28209-3649
(704) 826-3550
(704) 538-4135
Mailing address
4705 UNIVERSITY DR BLDG 700, DURHAM, NC 27707-3489
(919) 237-1337
(866) 538-4716
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15013
NC
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
25MP00694400
NJ
Other
Enumeration date
01/10/2022
Last updated
03/17/2025
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