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Mrs. Heather Louise Evans, FNP
Family Nurse Practitioner in Lake City, South Carolina
NPI 1710305016

Heather Louise Evans is a Family Nurse Practitioner based in Lake City, SC and is specialized in Family. Heather Louise Evans practices in Lake City, SC and has the professional credentials of FNP. The NPI Number for Heather Louise Evans is 1710305016 and holds a License No. 211915 (South Carolina).

The current practice location address for Heather Louise Evans is 258 N Ron Mcnair Blvd, Lake City, SC and can be reached out via phone at 843-374-6157.

Location: 258 N Ron Mcnair Blvd, Lake City, SC, 29560-2462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710305016
Provider Name
Heather Louise Evans
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
258 N Ron Mcnair Blvd, Lake City, SC, 29560-2462
Phone Number
843-374-6157
Fax Number
Provider Enumeration Date
04/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710305016 05 SC
institution
Provider Business Practice Location Address Details
Address
258 N Ron Mcnair Blvd
City
Lake City
State
South Carolina
Zip
29560
Phone Number
843-374-6157
Fax Number
person
Provider Business Mailing Address Details
Address
258 N Ron Mcnair Blvd
City
Lake City
State
South Carolina
Zip
29560
Phone Number
843-374-6157
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
163WC1500X
License No.
22622 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
211915 (South Carolina)
Definition
Definition to come...
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