Individual
DR. JACQUELINE ANN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2150 NOLL DR, LANCASTER, PA 17603
(717) 874-4297
(717) 874-4298
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 874-4297
(717) 874-4298
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
OS008644L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001726636
—
PA
05
—
0017266360008
—
PA
Enumeration date
12/30/2005
Last updated
12/12/2020
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