Stephens, Evelynn Malone
Stephens, Evelynn Malone is an sole proprietor health care provider with primary practice located at 330B Highway 90 , Gautier MS 39553-5744. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Stephens, Evelynn Malone can be contacted via phone (228) 497-0434.Contact Information
Primary practice address
330B Highway 90
Gautier MS 39553-5744
Phone: (228) 497-0434
Fax: (228) 497-2391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 856563 | Mississippi |
Profile Details
| NPI number | 1326656802 |
|---|---|
| LBN Legal business name | Stephens, Evelynn Malone |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2020 |
| Last updated | Jul 21st, 2020 - about 6 years ago |
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 | 1326656802 | NPPES |
| Mississippi | MEDICAID | 00018214 |
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