Evans, Heather Louise

Evans, Heather Louise is an sole proprietor health care provider with primary practice located at 258 N Ron Mcnair Blvd , Lake City SC 29560. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Evans, Heather Louise can be contacted via phone (843) 374-6157.

Contact Information

Primary practice address
258 N Ron Mcnair Blvd Lake City SC 29560
Phone: (843) 374-6157
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 211915 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22622 South Carolina

Profile Details

NPI number 1710305016
LBN Legal business name Evans, Heather Louise
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2014
Last updated Feb 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710305016 NPPES
South Carolina MEDICAID 1710305016

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