Individual
MRS. KELLY ALLEN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2936 N ELM ST, LUMBERTON, NC 28358-2981
(910) 677-6619
Mailing address
2936 N ELM ST, LUMBERTON, NC 28358-2981
(910) 671-6619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0050-13630
NC
Other
Enumeration date
10/23/2007
Last updated
07/02/2012
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