Individual provider · Type 1 NPI

Jacqueline Evans

Student in an Organized Health Care Education/Training Program · Eau Claire, WI

NPI number 1245788488 Active

Practice location

105 Garfield Ave
Eau Claire, WI 54701-4811

Call (715) 836-3377 Map

Mailing address

14884 W Phipps Rd
Hayward, WI 54843-6365

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245788488

Jacqueline Evans's National Provider Identifier is 1245788488, issued on Sep 16, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eau Claire, WI. The record was last updated on Sep 16, 2016.