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Individual

SYLVIA J EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
207 STONEBRIDGE BLVD, JACKSON, TN 38305-2040
(731) 661-6340
Mailing address
2 QUAIL CREEK DR, JACKSON, TN 38305-8866
(573) 686-5550

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000031457
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3021400
TN BCBS INDIVIDUAL
TN
05
3605891
TN
Enumeration date
09/22/2005
Last updated
04/04/2008
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