Individual
JESSICA S EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5314 LINCOLNWAY E, MISHAWAKA, IN 46544-4249
(574) 584-2812
(574) 584-2813
Mailing address
52185 BRENDON HILLS DR, GRANGER, IN 46530-7811
(574) 612-6064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28189815A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023663
—
IN
Enumeration date
01/21/2019
Last updated
02/16/2026
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