Evans, Jackie Denise
Evans, Jackie Denise is an individual health care provider with primary practice located at 480 Central Ave , Pearl Harbor HI 96860-4908. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Evans, Jackie Denise can be contacted via phone (808) 473-1880.Contact Information
Primary practice address
480 Central Ave
Pearl Harbor HI 96860-4908
Phone: (808) 473-1880
Fax: (808) 473-4449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Ambulatory Care | 163WP2201X | RN254730 | Georgia |
Profile Details
| NPI number | 1720861362 |
|---|---|
| LBN Legal business name | Evans, Jackie Denise |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2023 |
| Last updated | Aug 16th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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