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NPI Code Detail

MEDICARE: DR. NICOLE ANNE EVERMAN M.D.

MEDICARE: DR. NICOLE ANNE EVERMAN M.D.
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
12084N0400XNeurology PhysicianR1379KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801059464
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE ANNE EVERMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 936
Second Line :
City : LONDON
State : KY
Zip : 40743-0936
Country : US
Telephone Number : 606-330-7835
Fax Number :
Provider Business Practice Location Address
First Line : 211 FOUNTAIN CT
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-2694
Country : US
Telephone Number : 859-263-8807
Fax Number : 859-263-8808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2008
Last Update Date : 03/10/2026

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