Individual
OWEN B EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5214
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5214
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10117
MS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
10117
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010988
—
MS
05
—
1362743
—
LA
Enumeration date
09/22/2006
Last updated
06/21/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us