Individual
JENNA ROSE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
195910-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
157407
WI
Other
Enumeration date
07/15/2013
Last updated
07/01/2025
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