Healthcare Provider Details

I. General information

NPI: 1457160491
Provider Name (Legal Business Name): EVOLVE WOMENS HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 ZEAGLER DR
PALATKA FL
32177-3813
US

IV. Provider business mailing address

520 ZEAGLER DR
PALATKA FL
32177-3813
US

V. Phone/Fax

Practice location:
  • Phone: 386-937-1683
  • Fax:
Mailing address:
  • Phone: 386-937-1683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY RIGDON
Title or Position: OWNER
Credential: APRN
Phone: 386-937-1683