Evans, Candice M.
Evans, Candice M. is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Evans, Candice M. can be contacted via phone (770) 535-3611.Contact Information
Primary practice address
725 Jesse Jewell Pkwy Se
Gainesville GA 30501-3834
Phone: (770) 535-3611
Fax: (770) 535-7092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN057664 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN-NP057664 | Georgia |
Profile Details
| NPI number | 1215909213 |
|---|---|
| LBN Legal business name | Evans, Candice M. |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Oct 30th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215909213 | NPPES |
| Georgia | MEDICAID | 000760328E | |
| Georgia | Other | 303670 | |
| Georgia | Other | 303683 | |
| Georgia | Other | 303684 | |
| Georgia | MEDICAID | 000760328B | |
| Georgia | MEDICAID | 000760328A | |
| Georgia | Other | 10032988 | |
| Georgia | Other | 303685 |
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