Provider Demographics
NPI:1063286292
Name:EVANS, TERI BETH (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:BETH
Last Name:EVANS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, APRN, FNP-C
Mailing Address - Street 1:18771 TALLULAH TRL
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-8643
Mailing Address - Country:US
Mailing Address - Phone:972-971-2282
Mailing Address - Fax:
Practice Address - Street 1:18771 TALLULAH TRL
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8643
Practice Address - Country:US
Practice Address - Phone:972-971-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX768937163W00000X
TX1202758363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse