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General NPI Number Information
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NPI Number | 1285387555
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Entity Type | Individual
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Provider Name | KENDRA NICHOLE EVANS FNP
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Gender | Female
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 1100 S JACKSON HWY STE 100
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City | SHEFFIELD
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State | AL
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Zip | 35660-5769
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Country | US
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Telephone | 256-314-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 215 JORDAN LN
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City | FLORENCE
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State | AL
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Zip | 35630-8913
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Country | US
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Telephone | 256-627-1460
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 1-162244
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F08211085
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License Number State | AL
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