Individual
JEREMY B EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11408 LAKE SHERWOOD AVE N STE A, BATON ROUGE, LA 70816-0421
(225) 261-7143
(225) 250-1026
Mailing address
4944 S SHERWOOD FOREST BLVD APT 125, BATON ROUGE, LA 70816-4615
(601) 519-9106
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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