Individual
JENNIFER ASICAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP
Contact information
Practice address
2382 FARADAY AVE STE 100, CARLSBAD, CA 92008-7219
(858) 209-9871
(858) 939-1595
Mailing address
2830 TRUXEL RD, SACRAMENTO, CA 95833-1823
(916) 284-5568
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95012648
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012648
CA
Other
Enumeration date
09/09/2019
Last updated
08/20/2024
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