KENYATTA EVANS-SNULLIGAN N.P. NPI 1194008425

NPI Information

NPI: 1194008425
Provider Name: KENYATTA EVANS-SNULLIGAN, N.P.
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1100 W CERMAK RD
CUITE C119
CHICAGO, IL
ZIP 60608
Phone: (312) 243-2223
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Kenyatta Evans-snulligan, N.P. is an adult health clinical nurse specialist in Chicago, IL. Kenyatta Evans-snulligan, N.P. NPI is 1194008425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 W CERMAK RD
CUITE C119
CHICAGO, IL
ZIP 60608-500
Phone: (312) 243-2223
Fax: (312) 243-2227

The NPI 1194008425 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2011 and was last updated on 5/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SA2200X	Clinical Nurse Specialist	Adult Health	041361698	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	041361698	OTHER	ILLINOIS	IL STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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