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NPI Code Detail

MEDICARE: CECILY KARYN HEATH EVANS MSN, APRN, FNP-BC

MEDICARE: CECILY KARYN HEATH EVANS MSN, APRN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1053391TX

General Provider Information

NPI Number : 1548938624
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILY KARYN HEATH EVANS MSN, APRN, FNP-BC
Provider Business Mailing Address
First Line : 2001 N JEFFERSON AVE
Second Line :
City : MOUNT PLEASANT
State : TX
Zip : 75455-2338
Country : US
Telephone Number : 903-577-6000
Fax Number :
Provider Business Practice Location Address
First Line : 515 N 3RD ST
Second Line :
City : LONGVIEW
State : TX
Zip : 75601-6546
Country : US
Telephone Number : 903-475-3474
Fax Number : 903-367-0300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2021
Last Update Date : 11/11/2025

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