Individual
JASMIN FIELD EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
212595
MA
207L00000X
Anesthesiology Physician
Primary
MD438912
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0368598
—
NJ
05
—
102857330 0001
—
PA
Enumeration date
09/12/2006
Last updated
12/17/2013
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