MEDICARE: MS. ALISON MCCLELLAN EVANS FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	26NJ00158700	NJ

General Provider Information

NPI Number	:	1679740740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALISON MCCLELLAN EVANS FNP-BC

Provider Business Mailing Address
First Line	:	30 BROOKSIDE RD
Second Line	:
City	:	LEONARDO
State	:	NJ
Zip	:	07737-1701
Country	:	US
Telephone Number	:	646-345-3424
Fax Number	:	201-735-0076

Provider Business Practice Location Address
First Line	:	2391 HIGHWAY 36
Second Line	:
City	:	ATLANTIC HIGHLANDS
State	:	NJ
Zip	:	07716-2532
Country	:	US
Telephone Number	:	848-488-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	10/29/2025

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