Provider Demographics
NPI:1861625089
Name:PERSAUD EVANS, RAHONIE (DNP, PMHNP-BC, FNP-B)
Entity type:Individual
Prefix:DR
First Name:RAHONIE
Middle Name:
Last Name:PERSAUD EVANS
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC, FNP-B
Other - Prefix:
Other - First Name:RAHONIE
Other - Middle Name:
Other - Last Name:PERSAUD EVANS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, PMHNP-BC FNP-BC
Mailing Address - Street 1:2500 QUINCY AVE
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34947-4766
Mailing Address - Country:US
Mailing Address - Phone:561-402-2589
Mailing Address - Fax:
Practice Address - Street 1:5507 S CONGRESS AVE STE 150
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-1139
Practice Address - Country:US
Practice Address - Phone:561-907-4472
Practice Address - Fax:772-742-8189
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL91756042084P0804X, 363LF0000X
FL91780252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFJ638YOtherMEDICARE PTAN