Individual provider · Type 1 NPI
Timothy J. Evans
Family Nurse Practitioner · Fulton, MS
NPI number
1720095896
Active
Practice location
1301 S Adams St
Fulton, MS 38843
Fax (662) 862-4244
Mailing address
3377 Joe Wheeler Brown Rd
Fulton, MS 38843-7245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | R819687 (MS) |
| Family Nurse Practitioner | 363LF0000X | AP09666 (LA) |
| Family Nurse Practitioner Primary | 363LF0000X | R819687 (MS) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1720095896
Timothy J. Evans's National Provider Identifier is 1720095896, issued on Aug 2, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fulton, MS. The record was last updated on Jun 17, 2021.