Individual
JESSICA DIANE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
670 WEST FIREWEED LANE, SUITE 160, ANCHORAGE, AK 99503
(907) 770-0862
Mailing address
670 WEST FIREWEED LANE, SUITE 160, ANCHORAGE, AK 99503
(907) 770-0862
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6346
AK
164W00000X
Licensed Practical Nurse
NURP346
AK
Other
Enumeration date
10/27/2016
Last updated
01/09/2022
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