TIMOTHY J EVANS (NPI# 1720095896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720095896 |
| Entity Type | Individual |
| Full Name | TIMOTHY J EVANS |
| Practice Address |
1301 S Adams St Fulton MS 38843 |
| Mailing Address |
1301 S Adams St Fulton MS 38843-8862 |
| Practice Telephone | 6628624422 |
| Practice Fax Number | 6628624244 |
| Mailing Telephone | 6628624422 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R819687 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R819687 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083119994 | Timothy Warren Evans | Pharmacist | 2714 Harbeck Rd, Grants Pass, OR 97527-5630 | 2018-03-24 |
| 1942696653 | Timothy Evans | Student in an Organized Health Care Education/Training Program | 171 Arbor Blvd, Naples, FL 34119-4644 | 2015-04-09 |
| 1740602739 | Timothy Evans | Registered Nurse | 715 S Flower St, Lakewood, CO 80226-4116 | 2014-01-10 |
| 1003179938 | Timothy Ray Evans | Pharmacist | 21801 Makah Road, Woodway, WA 98020-7204 | 2012-06-15 |
| 1992860969 | Timothy D Evans | Marriage & Family Therapist | 2111 W Swann, Suite 104, Tampa, FL 33606 | 2006-12-27 |
| 1699878272 | Timothy Sears Evans | Dentist | 928 E 100 S, Suite E, Salt Lake City, UT 84102 | 2006-09-07 |
| 1275644056 | Timothy Craig Evans | Counselor | 1221 W Whitehall Rd, State College, PA 16801-2627 | 2006-08-31 |
| 1669000568 | Timothy Cogswell Evans | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-03-28 |
| 1962057877 | Timothy Ryan Evans | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5051 | 2019-08-07 |
| 1245734060 | Timothy Tyler Evans | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2018-03-19 |
| Street Address |
1301 S ADAMS ST |
| City | FULTON |
| State | MS |
| Zip Code | 38843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932453610 | Convenient Care of Fulton Inc | Family Medicine | 1301 S Adams St, Fulton, MS 38843-8862 | 2012-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285126227 | Medplus Fulton, LLC | Clinic/Center | 407 Interchange Drive, Fulton, MS 38843 | 2018-06-05 |
| 1568843332 | Jordan Webster Steele | Family Medicine | 384 Mount Pisgah Road, Fulton, MS 38843 | 2015-06-17 |
| 1649674342 | Natalie Wilburn Heckart | Nurse Practitioner | 1301 South Adams Sreet, Fulton, MS 38843 | 2014-10-09 |
| 1740416429 | Joshua Michael Hatfield | Optometrist | 1310 E Walker St, Fulton, MS 38843 | 2009-06-08 |
| 1174691141 | Ronald L. Wheeler | Dentist | 1309 South Adams Street, Fulton, MS 38843 | 2006-11-30 |
| 1003990193 | Total Eye Care PC | Optometrist | 1310 E. Walker St., Fulton, MS 38843 | 2006-10-25 |
| 1477658912 | Rodolfo Noche Arriola | General Practice | 418 Hospital Rd, 1, Fulton, MS 38843 | 2006-09-13 |
| 1376567941 | Gerald E. Klein | Chiropractor | 101 Wheeler Dr Suite B, Fulton, MS 38843 | 2006-07-27 |
| 1497197529 | Adrianna Beth Johnson | Physical Therapist | 406 Interchange Drive, Fulton, MS 38843 | 2013-07-17 |
| 1043585953 | Total Eye Care of Fulton P.a. | Clinic/Center | 1310 E Walker St, Fulton, MS 38843 | 2012-03-12 |
| Find all providers in zip 38843 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026086 | Rachel Romero | Nurse Practitioner | 407 Interchange Dr, Fulton, MS 38843-6029 | 2020-09-08 |
| 1245890177 | Jo-ann Walter Middleton | Nurse Practitioner | 11957 Lime Kiln Rd, Fulton, MD 20759-9616 | 2019-06-13 |
| 1396200408 | Paige A Nabors | Nurse Practitioner | 800 Scott Senter Rd, Fulton, MS 38843-6238 | 2019-02-02 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1730695503 | Sametta Rhoda Sanyaolu | Nurse Practitioner | 7625 Maple Lawn Blvd Ste 260, Fulton, MD 20759-2565 | 2017-12-15 |
| 1649674342 | Natalie Wilburn Heckart | Nurse Practitioner | 1301 South Adams Sreet, Fulton, MS 38843 | 2014-10-09 |
| 1316214182 | Lynne M Coffey | Nurse Practitioner | 1130 17th St Ste B, Fulton, IL 61252-2008 | 2011-11-22 |
| 1669775821 | Jolane Sue Conklin | Nurse Practitioner | 2221 1 1/2 Mile Rd, Fulton, MI 49052-9632 | 2010-12-09 |
| 1386813855 | Zorina Marie Pina-hauan | Nurse Practitioner | 501 Westminster Ave, Fulton, MO 65251-1230 | 2008-02-28 |
| 1336266550 | Tara B Enlow | Nurse Practitioner | 202 Interchange Dr, Fulton, MS 38843-6011 | 2007-03-23 |
| Find all providers in FULTON | ||||
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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.