Individual
JENNIFER M EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 CEDAR ST, NEW HAVEN, CT 06519-1610
(203) 503-3300
Mailing address
66 SEYMOUR AVE, DERBY, CT 06418-1427
(203) 913-1586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R56250
CT
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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