Individual
MS. JENNIFER ELIZABETH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 MEDICAL CENTER BLVD STE 305, CHESTER, PA 19013
(610) 874-6448
(610) 876-7399
Mailing address
300 LAWRENCE RD, BROOMALL, PA 19008-3220
(570) 947-2123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057568
PA
Other
Enumeration date
12/05/2011
Last updated
07/25/2019
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