Evans, Kathy Jean
Evans, Kathy Jean is an sole proprietor health care provider with primary practice located at 210 E Main St , Tupelo MS 38804-4017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Evans, Kathy Jean can be contacted via phone (662) 255-0467.Contact Information
Primary practice address
210 E Main St
Tupelo MS 38804-4017
Phone: (662) 255-0467
Fax: (662) 620-7106
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R543446 | Mississippi |
Profile Details
NPI number | 1629016795 |
---|---|
LBN Legal business name | Evans, Kathy Jean |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 2nd, 2006 |
Last updated | Jun 3rd, 2015 - about 10 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629016795 | NPPES |
Mississippi | MEDICAID | 00124239 |
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