Individual
DR. CATHERINE SHEILA JACKSON-EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FACOG
Contact information
Practice address
8865 W 400 N, SUITE 130, MICHIGAN CITY, IN 46360-9222
(219) 879-5143
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4837
(317) 865-8157
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
050188
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
2017-01003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00919652A
—
GA
05
—
201160860
—
IN
Enumeration date
09/20/2006
Last updated
05/19/2021
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