Individual
JACKIE DENISE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 473-1880
(808) 473-4449
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 473-1880
(808) 473-4449
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN254730
GA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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