Individual
REBECCA JEAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
964 MEZZANINE DR, LAFAYETTE, IN 47905-8631
(765) 446-8078
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71006415A
IN
367A00000X
Advanced Practice Midwife
28228962A
IL
Other
Enumeration date
06/01/2013
Last updated
02/13/2025
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