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KELLI LANE EVANS FNP-BC
NPI 1871055210
Nurse Practitioner - Family in Evans, GA

Active since April 04, 2019
616 PONDER PLACE DR, EVANS, GA 30809(706) 421-7325 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Jun 30, 2021, Apr 4, 2019 (3 updates tracked since 2019).

About Kelli Lane Evans Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI LANE EVANS FNP-BC (NPI 1871055210) is an individual family provider in Evans, Georgia, licensed in Georgia (RN241946) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1871055210
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLI LANE EVANSCredential: FNP-BC
Location Address616 PONDER PLACE DREvans, GA 30809-3116
Mailing Address925 Sawbuck WayEvans, GA 30809-4895 · (478) 951-2747
Phone(706) 421-7325
Sole ProprietorNo
Enumeration DateApril 4, 2019
Last NPPES UpdateJune 10, 20243 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1871055210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN241946
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 22711 (SC)
616 PONDER PLACE DR, Evans, GA 30809
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Evans's NPI number?

The NPI number for Kelli Evans is 1871055210. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Kelli Evans located?

Kelli Evans practices at 616 Ponder Place Dr, Evans, GA 30809. The listed phone number is (706) 421-7325.

What is Kelli Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelli Evans was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.