Ronequa Evans, NP-C
Nurse Practitioner, Family in Pearl, MS. Individual provider (NPI-1).
NPI number1982205423
StatusActive
Last updated in NPPESNov 14, 2023
Details
- NPI
- 1982205423
- Entity type
- Individual (NPI-1)
- Name
- Ronequa Evans
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2020
- Certification date
- Nov 14, 2023
- Last updated
- Nov 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 903828 | MS | Yes |
Other names
- Ronequa M Evans (Other Name)
Practice location
811 Clubhouse DrPearl, MS 39208-7023
Phone 601-421-4375
Mailing address
811 Clubhouse DrPearl, MS 39208-7023
Phone 601-421-4375
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