Evergreen Clini

NPI #1396763298 in Nettleton, Mississippi

Provider Information

NPI Number
1396763298
Entity Type
Organization
Organization Name
Evergreen Clini
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 18, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
4929 HIGHWAY 371 S
ZIP Code
38858-6901
Phone
(662) 963-9154

Authorized Official

Name
MR. JERRY STEVENS
Title
ADMINISTRATION
Phone
(662) 963-9154

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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