Individual
MR. EVENS JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
434 ROCKAWAY AVE, BROOKLYN, NY 11212
(718) 346-2628
Mailing address
434 ROCKAWAY AVE, BROOKLYN, NY 11212-5636
(718) 346-2628
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9250352
FL
363L00000X
Nurse Practitioner
Primary
F342464-1
NY
Other
Enumeration date
12/12/2016
Last updated
12/18/2019
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