Evans, Regina Jonelle

Evans, Regina Jonelle is an sole proprietor health care provider with primary practice located at 112 W Peeler Ave , Shaw MS 38773-8710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Evans, Regina Jonelle can be contacted via phone (662) 754-3301.

Contact Information

Primary practice address
112 W Peeler Ave Shaw MS 38773-8710
Fax: (662) 754-3304
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 903672 Mississippi

Profile Details

NPI number 1609416544
LBN Legal business name Evans, Regina Jonelle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2020
Last updated Aug 20th, 2020 - about 5 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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