Evans, Jacquelyn

Evans, Jacquelyn is an individual health care provider with primary practice located at 1 William Carls Dr , Commerce Twp MI 48382-2201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Evans, Jacquelyn can be contacted via phone (248) 937-3307.

Contact Information

Primary practice address
1 William Carls Dr Commerce Twp MI 48382-2201
Phone: (248) 937-3307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704067110 Michigan

Profile Details

NPI number 1922087063
LBN Legal business name Evans, Jacquelyn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1922087063 NPPES
Michigan Other JE067110 BLUE CROSS OF MI

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