Individual
JENNIFER BROOK EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1552
Mailing address
212 RAMPART ST, RIDGELAND, MS 39157-3564
(601) 863-9118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R836876
MS
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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