Evans, Katrina L

Evans, Katrina L is an individual health care provider with primary practice located at 1251 Woods St , Jacksonville FL 32209-7136. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Evans, Katrina L can be contacted via phone (904) 651-0614.

Contact Information

Primary practice address
1251 Woods St Jacksonville FL 32209-7136
Phone: (904) 651-0614
Fax: (904) 354-0741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X 006259100 Florida

Profile Details

NPI number 1942851290
LBN Legal business name Evans, Katrina L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2019
Last updated Sep 26th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942851290 NPPES
Florida MEDICAID 006259100

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