Individual
JAMMIE LYNN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3250 N MONROE ST, MONROE, MI 48162-9297
(734) 384-3402
(734) 384-3420
Mailing address
7205 WAR RD, NEWPORT, MI 48166-9309
(734) 819-8636
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703121707
MI
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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