Individual
JESSICA ANN EVOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 E NORTH AVE STE 304, PITTSBURGH, PA 15212-4746
(412) 359-4068
Mailing address
420 E NORTH AVE STE 304, PITTSBURGH, PA 15212-4746
(412) 359-4068
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA062593
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15421621
CAQH
—
Enumeration date
05/25/2021
Last updated
03/11/2022
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