Individual
JACQUELYN RENEE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34.016660
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024433
—
OH
Enumeration date
04/01/2019
Last updated
08/31/2023
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