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General NPI Number Information
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NPI Number | 1437855533
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Entity Type | Individual
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Provider Name | KRISTIN MICHELLE EVANS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1130 E 32ND ST
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City | JOPLIN
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State | MO
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Zip | 64804-4034
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Country | US
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Telephone | 417-347-2273
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3810
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City | JOPLIN
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State | MO
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Zip | 64803-3810
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2023012432
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License Number State | MO
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