Healthcare Provider Details

I. General information

NPI: 1679110977
Provider Name (Legal Business Name): CHRISTINE EVANS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE EMILY EVANS NP

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 03/07/2023
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 NAPOLEON AVE
NEW ORLEANS LA
70115-6914
US

IV. Provider business mailing address

1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2429
US

V. Phone/Fax

Practice location:
  • Phone: 504-703-9614
  • Fax: 504-842-5931
Mailing address:
  • Phone: 504-842-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number208745
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number208745
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: