Individual
MRS. CARLISSA MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1715 TEXOMA PKWY, SHERMAN, TX 75090-2613
(903) 487-0477
(903) 486-9844
Mailing address
10300 N CENTRAL EXPY, DALLAS, TX 75231-8600
(469) 634-1800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
800411
TX
363LF0000X
Family Nurse Practitioner
800411
TX
363LG0600X
Gerontology Nurse Practitioner
800411
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288256502
—
TX
Enumeration date
07/17/2011
Last updated
01/23/2026
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