Evans, Jennifer

Evans, Jennifer is an individual health care provider with primary practice located at 613 Franklin St Ste C , Michigan City IN 46360-3411. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Evans, Jennifer can be contacted via phone (317) 449-9669.

Contact Information

Primary practice address
613 Franklin St Ste C Michigan City IN 46360-3411
Phone: (317) 449-9669
Fax: (888) 915-0644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28145112A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003874A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71003874A Indiana

Profile Details

NPI number 1063781532
LBN Legal business name Evans, Jennifer
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2011
Last updated Apr 16th, 2023 - about 3 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 1063781532 NPPES
Indiana MEDICAID 201067810

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