Individual
MRS. JACQUELINE ANN EVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
209 E JEFFERSON ST, PLYMOUTH, IN 46563-1861
(574) 941-3111
(574) 335-0745
Mailing address
PO BOX 6309, SOUTH BEND, IN 46660-6309
(574) 335-8700
(574) 335-0760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28130507A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000660693
BCBS
IN
Enumeration date
08/03/2009
Last updated
05/07/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us