Individual provider · Type 1 NPI

Evelyn Lema Tankoh, MRN, APRN, AGNP-BC

Adult Health Nurse Practitioner · Jonesboro, GA

NPI number 1922600279 Active

Practice location

7130 Mount Zion Blvd Ste 14B
Jonesboro, GA 30236-2566

Fax (470) 288-0223

Mailing address

1975 Highway 54 W Ste 205
Peachtree City, GA 30269-4794

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000XRN118032 (GA)
Gerontology Registered Nurse 163WG0600XRN118032 (GA)
Adult Health Nurse Practitioner Primary 363LA2200XRN118032 (GA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1922600279

Evelyn Lema Tankoh, MRN, APRN, AGNP-BC's National Provider Identifier is 1922600279, issued on Nov 11, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jonesboro, GA. The record was last updated on Sep 19, 2025.