Individual
DR. JESSICA NICOLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211
(276) 258-4435
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102206843
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629569934
—
VA
Enumeration date
05/22/2018
Last updated
06/14/2024
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