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Individual

JENNA EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
301 GORDON GUTMANN BLVD STE 101, JEFFERSONVILLE, IN 47130-3765
(812) 282-4844
(812) 282-6248
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1134874
KY
163W00000X
Registered Nurse
28191999A
IN
363L00000X
Nurse Practitioner
3014096
KY
363LF0000X
Family Nurse Practitioner
Primary
71009865A
IN

Other

Enumeration date
12/12/2019
Last updated
02/11/2025
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