Individual
JORDAN E. EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-7990
Mailing address
731 PLYMOUTH CIR, NEWPORT NEWS, VA 23602-7016
(757) 508-2598
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0024179912
VA
363L00000X
Nurse Practitioner
Primary
0024179912
VA
Other
Enumeration date
02/15/2021
Last updated
05/09/2023
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