Evans, Candice M.

Evans, Candice M. is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Evans, Candice M. can be contacted via phone (770) 535-3611.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 535-3611
Fax: (770) 535-7092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN057664 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN057664 Georgia

Profile Details

NPI number 1215909213
LBN Legal business name Evans, Candice M.
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Aug 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215909213 NPPES
Georgia MEDICAID 000760328E
Georgia Other 303670
Georgia Other 303683
Georgia Other 303684
Georgia MEDICAID 000760328B
Georgia MEDICAID 000760328A
Georgia Other 10032988
Georgia Other 303685

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