Family Care of Evergreen, LLC
NPI #1841692852 in Nettleton, Mississippi
Provider Information
- NPI Number
- 1841692852
- Entity Type
- Organization
- Organization Name
- Family Care of Evergreen, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 22, 2014
- Last Updated
- Sep 22, 2014
Practice Location
- Address
- 4929 HIGHWAY 371 S
- City
- Nettleton
- State
- Mississippi
- ZIP Code
- 38858-6901
- Phone
- (662) 963-9154
Authorized Official
- Name
- JANET EARNEST
- Title
- OFFICE MANAGER
- Phone
- (662) 842-4877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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