LESLIE BROOKE EVANS (NPI# 1881231538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881231538 |
| Entity Type | Individual |
| Full Name | LESLIE BROOKE EVANS |
| Credential | FNP-C |
| Practice Address |
906 Bryan St W Douglas GA 31533-2330 |
| Mailing Address |
667 Griffin Cemetery Rd Ambrose GA 31512-3832 |
| Practice Telephone | 9123839300 |
| Practice Fax Number | 9123839292 |
| Mailing Telephone | 9123896279 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN224154 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669890661 | Leslie Evans | Social Worker | 342 Junipero Ave, Long Beach, CA 90814-2234 | 2014-04-07 |
| 1902327539 | Leslie Evans | Nurse Practitioner | 5001 Transportation Dr, Sheffield Village, OH 44054-2849 | 2017-07-05 |
| 1487990255 | Leslie Evans | Case Manager/Care Coordinator | 526 S San Pedro St, Los Angeles, CA 90013-2102 | 2012-12-21 |
| 1740537497 | Leslie Evans | Case Manager/Care Coordinator | 11059 E Bethany Dr, Ste 200, Aurora, CO 80014-2622 | 2012-08-13 |
| 1164795753 | Leslie Marie Evans | Nurse Anesthetist, Certified Registered | 5301 E. Huron River Dr, Ann Arbor, MI 48106 | 2012-02-14 |
| 1518283340 | Leslie Evans | Case Manager/Care Coordinator | 100 S University Ave, Ste 401, Little Rock, AR 72205-5213 | 2010-04-19 |
| 1487872271 | Leslie Logan Evans | Obstetrics & Gynecology | 150 S Ingleside St Ste 6, Fairhope, AL 36532-1804 | 2007-04-24 |
| 1699753798 | Leslie Evans | Genetic Counselor, MS | 14 Victoria Rd, Asheville, NC 28801-4420 | 2006-01-09 |
| Street Address |
906 BRYAN ST W |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152855 | Umamaheswari Jonnalagadda | Family Medicine | 906 Bryan St W, Douglas, GA 31533-2330 | 2005-08-23 |
| 1578743985 | Hazlehurst Family Clinic LLC | Family Medicine | 906 Bryan St W, Douglas, GA 31533-2330 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551829 | Taylor Lamar Gibson | Nurse Practitioner | 200 Doctors Dr Ste O, Douglas, GA 31533-2202 | 2019-11-05 |
| 1952879918 | Monica Nichole Roberts | Nurse Practitioner | 210 Peterson Ave S, Douglas, GA 31533-5237 | 2018-11-08 |
| 1770058539 | Carlas Paulk | Nurse Practitioner | 28 Tempa Ln, Douglas, GA 31535-4561 | 2018-10-09 |
| 1053801860 | Brandon Hall | Nurse Practitioner | 903 Ward St W Ste A, Douglas, GA 31533-3536 | 2018-05-16 |
| 1235508920 | Michelle Martinez Jones | Nurse Practitioner | 200 Doctors Dr Ste S, Douglas, GA 31533-2203 | 2015-09-23 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1063817872 | Amanda Brulte | Nurse Practitioner | 100 Doctors Dr Ste 104, Douglas, GA 31533-2211 | 2014-10-23 |
| 1720481500 | La. Donna Spikes | Nurse Practitioner | 208 Grady Ave S, Douglas, GA 31533-2312 | 2014-10-07 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| Find all providers in DOUGLAS | ||||
Please comment or provide details below to improve the information on LESLIE BROOKE EVANS.
| 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.