# KATHY EVANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649640400
- **Authorized official:** MS. KATHY J EVANS PMHNP-BC (OWNER)
- **Authorized official phone:** (662) 620-7102

## Contact information

- **Practice address:** 210 E MAIN ST, STE 2B, TUPELO, MS 38804-4017
- **Practice address phone:** (662) 255-0467
- **Practice address fax:** (662) 620-7106
- **Mailing address:** 210 E MAIN ST, STE 2B, TUPELO, MS 38804-4017
- **Mailing address phone:** (662) 255-0467
- **Mailing address fax:** (662) 620-7106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | R543446 | MS | Yes |

## Other

- **Enumeration date:** 10/05/2015
- **Last updated:** 10/05/2015