Individual
TINA MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10315 W HIGHWAY 80, NANCY, KY 42544-9053
(606) 288-0013
(606) 288-9600
Mailing address
PO BOX 192, CROSS PLAINS, TN 37049-0192
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
220356
TN
164W00000X
Licensed Practical Nurse
82404
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
31288
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4051466
KY
Other
Enumeration date
09/20/2016
Last updated
03/24/2026
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