Evelyn Smith, FNP
Individual provider Active NPI Family Nurse Practitioner · Drew, MS
NPI 1679891964 · NPPES record last updated May 11, 2010
Key facts
- NPI
- 1679891964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R547115 (MS)
- Practice address
- 121 S Virgie St
Drew, MS 38737-3334 - Phone
- (662) 745-2331
- NPI assigned
- May 11, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R547115 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julia Street Clinic, Inc. | Past | Accepting new patients | |
| Community Health Clinic | Past | Accepting new patients | |
| J and R Chiropractic Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R547115 | MS | Yes |
Addresses
Primary practice location
121 S Virgie St
Drew, MS 38737-3334
Mailing address
121 S Virgie St
P.O. Box 304
Drew, MS 38737-3334
Phone (662) 745-2331
Other providers in Drew, MS
- North Delta Adult Daycare of Drew Inc.
- Scallion Family Medical Clinic LLC
- Brooke Scallion
- Serene Hospice Group
- Shaw Family Medical, LLC
- Jeri L. Thompson
All providers in Drew, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.