Individual
JENNA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1320 INGLEWOOD DR, STEPHENVILLE, TX 76401-1611
(940) 456-2308
Mailing address
539 COUNTY ROAD 490, STEPHENVILLE, TX 76401-7057
(940) 456-2308
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
321357
TX
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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