Individual
PAMELA RENE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
290 S PRESTON RD STE 260, PROSPER, TX 75078-9881
(469) 715-3535
Mailing address
PO BOX 1041, PROSPER, TX 75078
(903) 946-1261
(469) 715-3536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
878004
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP139190
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25810
APRN
TN
01
—
AP139190
APRN
TX
Enumeration date
10/10/2018
Last updated
10/08/2020
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