Evans, Jennifer

Evans, Jennifer is an individual health care provider with primary practice located at 4123 Dutchmans Ln Suite 300, Louisville KY 40207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Evans, Jennifer can be contacted via phone (502) 899-6755.

Contact Information

Primary practice address
4123 Dutchmans Ln Suite 300 Louisville KY 40207
Phone: (502) 899-6755
Fax: (502) 899-6753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 32989 Kentucky

Profile Details

NPI number 1508864422
LBN Legal business name Evans, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Feb 13th, 2017 - about 7 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 1508864422 NPPES
Kentucky MEDICAID 64011760
Kentucky Other K001121

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