NPI Profile for ELIZABETH L EVANS in RULEVILLE, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner |
| NPI # | 1568907376 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/03/2017 | |
| Last updated | 01/03/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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ELIZABETH L EVANS
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