Provider Demographics
NPI:1790443786
Name:EVERTS, LILIAN MELVIS (PMHNP)
Entity type:Individual
Prefix:
First Name:LILIAN MELVIS
Middle Name:
Last Name:EVERTS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 E DANIELDALE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-4028
Mailing Address - Country:US
Mailing Address - Phone:469-868-6250
Mailing Address - Fax:
Practice Address - Street 1:102 E DANIELDALE RD STE 101
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-4028
Practice Address - Country:US
Practice Address - Phone:469-868-6250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2025-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1060088363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty