Provider Demographics
NPI:1831780337
Name:BIBLE, EVELENE GRACE (DNP FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:EVELENE
Middle Name:GRACE
Last Name:BIBLE
Suffix:
Gender:F
Credentials:DNP FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6884 MADISON 2340
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72740-8271
Mailing Address - Country:US
Mailing Address - Phone:479-738-7241
Mailing Address - Fax:
Practice Address - Street 1:1500 N MOUNT OLIVE ST STE 1
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-9509
Practice Address - Country:US
Practice Address - Phone:479-524-8175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR122841363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily