Individual
JACQUELINE EMILY EVERNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5000 LONG PRAIRIE RD STE 100, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 221-8685
Mailing address
5000 LONG PRAIRIE RD STE 100, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 221-8685
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
079660
IA
363AS0400X
Surgical Physician Assistant
1014
SD
363AS0400X
Surgical Physician Assistant
Primary
PA13954
TX
Other
Enumeration date
08/27/2015
Last updated
01/27/2026
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