KELLI LANE EVANS FNP-BC NPI 1871055210

NPI Information

NPI: 1871055210
Provider Name: KELLI LANE EVANS, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
465 N BELAIR RD STE 3F
EVANS, GA
ZIP 30809
Phone: (706) 854-2080
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Kelli Lane Evans, FNP-BC is a family nurse practitioner in Evans, GA. Kelli Lane Evans, FNP-BC NPI is 1871055210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

465 N BELAIR RD STE 3F
EVANS, GA
ZIP 30809-191
Phone: (706) 854-2080

The enumeration date for this NPI number is 4/4/2019 and was last updated on 6/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN241946	GEORGIA	Yes
2	363LP2300X	Nurse Practitioner	Primary Care	22711	SOUTH CAROLINA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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