Individual
JOILYNN MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4123 DUTCHMANS LANE, SUITE 507, LOUISVILLE, KY 40207-4730
(402) 423-9595
(502) 719-0161
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40360
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000724270
ANTHEM - WS
KY
01
—
000057120L
HUMANA - WS
KY
01
—
127010
SIHO - WS
KY
05
—
201036270
—
IN
01
—
50012915
PASSPORT
KY
01
—
50034483
PASSPORT - WS
KY
01
—
5581
MEDICARE GRP
—
01
—
65925109
MEDICAID GRP
KY
05
—
7100010330
—
KY
01
—
7136702
CIGNA-WS
KY
Enumeration date
03/31/2006
Last updated
01/12/2021
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