JOHN EVANS NURSE PRACTITIONER NPI 1083033286

NPI Information

  • NPI: 1083033286
  • Provider Name: JOHN EVANS, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1118 ROSS CLARK CIR
    SUITE 100
    DOTHAN, AL
    ZIP 36301
  • Phone: (334) 794-1148

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NPI Details

John Evans, NURSE PRACTITIONER is an adult health nurse practitioner in Dothan, AL with 12 years of experience. John Evans, NURSE PRACTITIONER NPI is 1083033286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1118 ROSS CLARK CIR
SUITE 100
DOTHAN, AL
ZIP 36301-001
Phone: (334) 794-1148
Fax: (334) 793-1954

The NPI 1083033286 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 4/15/2014 and was last updated on 4/15/2014.

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
1363LG0600XNurse PractitionerGerontology1-058261ALABAMANo
2363LP2300XNurse PractitionerPrimary Care1-058261ALABAMANo
3363LA2200XNurse PractitionerAdult Health1-058261ALABAMAYes

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: 11/21/2025

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