HEATHER LOUISE EVANS

LAKE CITY, SC
NPI1710305016
Former NameHEATHER LOUISE OWENS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  22622)
Additional Taxonomies163WC1500X Registered Nurse, Community Health
(Licence: SC  211915)
Enumeration Date2014-04-03
Last Update Date2019-02-14
Business Address
Mrs. HEATHER LOUISE EVANS FNP
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560
Phone number: 843-374-6157
Mailing Address
Mrs. HEATHER LOUISE EVANS FNP
258 N RON MCNAIR BLVD
LAKE CITY, SC 29560-2462
Phone number: 843-374-6157