Evans, Jacqueline Meryl

Evans, Jacqueline Meryl is an sole proprietor health care provider with primary practice located at 5801 Bremo Rd , Richmond VA 23226-1907. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Evans, Jacqueline Meryl can be contacted via phone (916) 397-5585.

Contact Information

Primary practice address
5801 Bremo Rd Richmond VA 23226-1907
Phone: (916) 397-5585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G87264 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD-44596 Iowa
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 0101266378 Virginia

Profile Details

NPI number 1588755441
LBN Legal business name Evans, Jacqueline Meryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated May 14th, 2022 - about 2 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1588755441 NPPES
California MEDICAID 00G872640

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