Individual
JENNIFER LYNN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
60 STATE ST, SUITE 700, BOSTON, MA 02109-1800
(888) 320-1776
Mailing address
14 VANDERPOOL DR, HAMPTON, NH 03842-2077
(603) 918-7239
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0762
NH
133V00000X
Registered Dietitian
DN004921
PA
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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