person
Mrs. Carlissa Marie Evans, NP
Nurse Practitioner in Irving, Texas
NPI 1104114727

Carlissa Marie Evans is a Nurse Practitioner based in Troy, TX. Carlissa Marie Evans practices in Irving, TX and has the professional credentials of NP. The NPI Number for Carlissa Marie Evans is 1104114727 and holds a License No. 800411 (Texas).

The current practice location address for Carlissa Marie Evans is 4545 Fuller Dr Ste 325, Irving, TX and can be reached out via phone at 972-870-5511 and via fax at 972-870-5512. You can also correspond with Carlissa Marie Evans through the mailing address at PO BOX 1239, TROY, MI - 48099-1239 (mailing address contact number: ).

Location: 4545 Fuller Dr Ste 325, Irving, TX, 48099-1239
person
Provider Profile Details
NPI Number
1104114727
Provider Name
Carlissa Marie Evans
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4545 Fuller Dr Ste 325, Irving, TX, 48099-1239
Phone Number
972-870-5511
Fax Number
972-870-5512
Provider Enumeration Date
07/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
288256502 05 TX
institution
Provider Business Practice Location Address Details
Address
4545 Fuller Dr Ste 325
City
State
Zip
75038-6530
Phone Number
972-870-5511
Fax Number
972-870-5512
person
Provider Business Mailing Address Details
Address
Po Box 1239
City
State
Zip
48099-1239
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
800411 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
800411 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
800411 (Texas)
Definition
Definition to come...
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