Individual
JENNIFER A EVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17183 I 45 S STE 610, SHENANDOAH, TX 77385-3315
(281) 364-9898
(281) 292-0400
Mailing address
17183 I 45 S STE 610, SHENANDOAH, TX 77385-3315
(281) 364-9898
(281) 292-0400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L7371
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170812501
—
TX
01
—
3660816
AETNA
TX
01
—
8M5481
BCBS
TX
Enumeration date
01/08/2007
Last updated
04/18/2018
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