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Individual
LE ROY EVANS III
Active
Individual
LE ROY EVANS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN, TCRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
198030
TN
163WC0200X
Critical Care Medicine Registered Nurse
198030
TN
163WC1500X
Community Health Registered Nurse
198030
TN
163WE0003X
Emergency Registered Nurse
198030
TN
163WM0705X
Medical-Surgical Registered Nurse
198030
TN
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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