Individual
ALEXANDRA IRENE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2000
(618) 498-2101
(618) 498-8153
Mailing address
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2000
(184) 987-5186
(618) 498-3052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209025504
IL
363LF0000X
Family Nurse Practitioner
Primary
209025504
IL
Other
Enumeration date
01/20/2021
Last updated
11/13/2024
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