IndividualActive
Evon Smith
NPI 1679942098 · Community Health Registered Nurse · Fayetteville, GA
Provider details
- NPI number
- 1679942098
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN117217 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
105 Kellie Ln
Fayetteville, GA 30214-3817
Phone: (404) 452-8275
Approximate (ZIP-level) locationGet directions
Mailing address
105 Kellie Ln
Fayetteville, GA 30214-3817
Registry dates
- Enumerated
- 2015-09-15
- Last updated
- 2015-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.