Individual
JACQUELINE EVANS EL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
717 GREEN VALLEY RD, GREENSBORO, NC 27408-2155
(336) 473-8711
(336) 473-8711
Mailing address
4905 ADAMS RIDGE DR, GREENSBORO, NC 27407-5834
(336) 473-8711
(336) 473-8711
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
000007627049
NC
343900000X
Non-emergency Medical Transport (VAN)
Primary
7627049
NC
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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