Individual
JENNIFER DENICE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6820
(912) 435-5169
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6820
(912) 435-5169
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
155546
GA
163WG0000X
General Practice Registered Nurse
Primary
155546
GA
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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