Teketra Evans, LPN, COSMETOLOGIST
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Wiggins, MS
NPI 1831732593 · NPPES record last updated Oct 24, 2019
Key facts
- NPI
- 1831732593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Practice address
- 39 E Zion Rd
Wiggins, MS 39577-5000 - Phone
- (601) 606-4269
- NPI assigned
- Oct 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hairvybes LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
39 E Zion Rd
Wiggins, MS 39577-5000
Mailing address
107 Walter Payton Dr # 222
Columbia, MS 39429-3738
Phone (601) 228-1301
Other providers in Wiggins, MS
- Elite Mississippi Transportation LLC
- Elite Transit LLC
- James Ryan Ellis
- Belinda Evans
- La'Toria Evans
- Tori Fairley
- Flint Creek Physical Therapy, LLC
- Hannah Leigh Fore
- Willimae Fulton
- William Bryan Gibboney
All providers in Wiggins, MS · Durable Medical Equipment & Medical Supplies in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.