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Individual

DR. JANELLE MORGAN EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1050 REID PKWY STE 325, RICHMOND, IN 47374-1161
(659) 628-5517
(765) 962-2591
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374
(765) 983-3127

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
229963
MA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
01093522A
IN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
35095645
OH
207VG0400X
Gynecology Physician
95645
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3114427
OH
01
35095645
LICENSE
OH
Enumeration date
01/16/2007
Last updated
09/03/2024
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