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NPI Code Detail

MEDICARE: ANNA EVANS APRN

MEDICARE: ANNA EVANS APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse915805MS
2363LF0000XFamily Nurse Practitioner907899MS

General Provider Information

NPI Number : 1316719826
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA EVANS APRN
Provider Business Mailing Address
First Line : PO BOX 1089
Second Line :
City : HAMMOND
State : LA
Zip : 70404-1089
Country : US
Telephone Number : 985-892-7070
Fax Number : 985-892-7017
Provider Business Practice Location Address
First Line : 2526 5TH ST N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-2019
Country : US
Telephone Number : 985-892-7070
Fax Number : 985-892-7017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2023
Last Update Date : 11/04/2025

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