Individual
MR. JEFFREY L EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 JEFFERSON STREET, MANSFIELD, LA 71052
(318) 872-2700
(318) 872-6214
Mailing address
PO BOX 740, MANSFIELD, LA 71052
(318) 872-2700
(318) 872-6214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
:016326
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080120718
RAILROAD MEDICARE
—
05
—
1325961
—
LA
01
—
430921723B
BCBS
LA
01
—
721417526EV
OCHSNERS
—
01
—
B63077
STERLING OPTION 1
—
Enumeration date
01/12/2006
Last updated
08/06/2013
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