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Individual

JACOB EVANSUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
212 HOSPITAL DR, WASHINGTON, GA 30673-5619
(706) 678-6944
Mailing address
350 WOODGROVE DR, ATHENS, GA 30605-7509
(253) 314-2374

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN278189
GA

Other

Enumeration date
02/20/2023
Last updated
01/06/2026
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