MRS. ROSE EVANS (NPI# 1417341512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417341512 |
| Entity Type | Individual |
| Full Name | MRS. ROSE EVANS |
| Credential | CRNFA |
| Practice Address |
1011 Pinecrest Dr Mccomb MS 39648-8285 |
| Practice Telephone | 6012495500 |
| Practice Fax Number | 6012491853 |
| Mailing Telephone | 6012495500 |
| Mailing Fax Number | 6012491853 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
R850860 | MS | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134338460 | Rose Evans | Occupational Therapist | 9600 Veterans Dr Sw, Building 148, Tacoma, WA 98493-0003 | 2007-05-22 |
| Street Address |
1011 PINECREST DR |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-8285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667488 | Ricky Bernard Conway | Registered Nurse | 5732 Angle Drive, Jackson, MS 39206-3920 | 2020-04-08 |
| 1497309298 | Jaleesa Nicole Williams | Registered Nurse | 330b Highway 90, Gautier, MS 39553-5744 | 2019-07-30 |
| 1568930469 | Bathsheba Brown | Registered Nurse | 760 Brookman Dr Ext, Brookhaven, MS 39601-2340 | 2018-11-08 |
| 1760983969 | Annie Hibbler Pierson | Registered Nurse | 27 Britt Rd, Indianola, MS 38751-2793 | 2018-02-22 |
| 1679080568 | Catrina Deshan Lockhart | Registered Nurse | 472 Highway 35, Collins, MS 39428-6216 | 2018-01-02 |
| 1336608595 | Michael J Necaise | Registered Nurse | 4500 13th St, Gulfport, MS 39501-2569 | 2019-03-18 |
| 1053884106 | Jennifer Elaine Pickens | Registered Nurse | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2019-01-10 |
| 1508309675 | Amanda Veazey | Registered Nurse | 1325 E Fortification St, Jackson, MS 39202-2442 | 2016-11-22 |
| 1124400411 | Rodney T Biggs | Registered Nurse | 104 Burney Dr, Flowood, MS 39232-6621 | 2015-06-23 |
| 1710256037 | Fanika Shuntae Herbert | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2011-12-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.