Individual
MRS. JACQUELINE PATRICIA EVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNOR RNFA
Contact information
Practice address
21 HARTFORD DR, EGG HARBOR TOWNSHIP, NJ 08234-6996
(609) 601-9772
Mailing address
21 HARTFORD DR, EGG HARBOR TOWNSHIP, NJ 08234-6996
(609) 601-9772
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO12053400
NJ
Other
Enumeration date
02/01/2009
Last updated
02/01/2009
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