Mystical Evans, FNP-C | |
17 White St, Cleveland, GA 30528-1140 | |
(706) 969-7510 | |
Not Available |
Full Name | Mystical Evans |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 17 White St, Cleveland, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982338737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN241432 (Georgia) | Primary |
Entity Name | Southeast Medical Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
Mailing Address | Practice Location Address |
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Mystical Evans, FNP-C Po Box 459, Colbert, GA 30628-0459 Ph: () - | Mystical Evans, FNP-C 17 White St, Cleveland, GA 30528-1140 Ph: (706) 969-7510 |
Heather Michele Jones, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17 White St, Cleveland, GA 30528 Phone: 706-969-7510 | |
Andrew Stow, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2578 Helen Hwy, Cleveland, GA 30528 Phone: 770-219-9260 | |
Kelli Nichole Adams, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2578 Helen Hwy, Cleveland, GA 30528 Phone: 770-219-9260 | |
Sharon Melissa Shaw, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 72 Peaceful Valley Dr, Cleveland, GA 30528 Phone: 678-313-1023 | |
Melissa Pruitt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17 White St, Cleveland, GA 30528 Phone: 706-969-7510 | |
Jane Nix Allen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2578 Helen Hwy, Cleveland, GA 30528 Phone: 706-348-4280 | |
Tina G. Campbell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2578 Helen Hwy, Cleveland, GA 30528 Phone: 706-865-1234 |