MEDICARE: MRS. AMY ELIZABETH MCEVOY PNP-PC

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
1	363LP0200X	Pediatric Nurse Practitioner	5023909	NC

General Provider Information

NPI Number	:	1053263483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY ELIZABETH MCEVOY PNP-PC

Provider Business Mailing Address
First Line	:	330 BILLINGSLEY RD STE 101
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-5020
Country	:	US
Telephone Number	:	990-260-0900
Fax Number	:	980-260-0901

Provider Business Practice Location Address
First Line	:	330 BILLINGSLEY RD STE 101
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-5020
Country	:	US
Telephone Number	:	990-260-0900
Fax Number	:	980-260-0901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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