Everson, Jennifer A
Everson, Jennifer A is an individual health care provider with primary practice located at 17183 I 45 S Ste 610 , Shenandoah TX 77385-3315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Everson, Jennifer A can be contacted via phone (281) 364-9898.Contact Information
Primary practice address
17183 I 45 S Ste 610
Shenandoah TX 77385-3315
Phone: (281) 364-9898
Fax: (281) 292-0400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | L7371 | Texas |
Profile Details
| NPI number | 1396893780 |
|---|---|
| LBN Legal business name | Everson, Jennifer A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Apr 18th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396893780 | NPPES |
| Texas | Other | 3660816 | AETNA |
| Texas | Other | 8M5481 | AETNA |
| Texas | MEDICAID | 170812501 | AETNA |
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