Individual
JESSICA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 HIGHWAY 25, STRAWBERRY, AR 72469-8570
(870) 283-4589
Mailing address
503 SE LINDSEY ST, HOXIE, AR 72433-2224
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225200000X
Physical Therapy Assistant
Primary
4218
AR
Other
Enumeration date
06/13/2014
Last updated
08/18/2017
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