Individual
MRS. JAIME LYNN EVANSHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
630 W MAIN ST, SUITE 307, WILMINGTON, OH 45177-2170
(937) 383-1588
(937) 383-4525
Mailing address
695 ROMANS RD, NEW VIENNA, OH 45159-9239
(937) 725-3492
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
COA.15262-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094249
—
OH
Enumeration date
10/22/2013
Last updated
10/17/2016
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