Provider Demographics
NPI:1982934410
Name:EVANS, KAREN WILLIAMS (RN,FNP-BC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:WILLIAMS
Last Name:EVANS
Suffix:
Gender:F
Credentials:RN,FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:227 KINGOLD BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SNOW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28580-1303
Mailing Address - Country:US
Mailing Address - Phone:252-747-8181
Mailing Address - Fax:252-747-8946
Practice Address - Street 1:227 KINGOLD BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:SNOW HILL
Practice Address - State:NC
Practice Address - Zip Code:28580-1303
Practice Address - Country:US
Practice Address - Phone:252-747-8181
Practice Address - Fax:252-747-8946
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC212106163W00000X, 163WC1500X, 163WM0102X, 163WP0200X, 163WW0101X
NC50050192083P0901X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine