Individual provider · Type 1 NPI
Mary Jane Evangelista, PhD, DNP, PMHNP
Primary Care Nurse Practitioner · Chicago, IL
NPI number
1720760010
Active
Practice location
3900 N Pine Grove Ave Apt 414
Chicago, IL 60613-6641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209.027735 (IL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1720760010
Mary Jane Evangelista, PhD, DNP, PMHNP's National Provider Identifier is 1720760010, issued on Aug 4, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Chicago, IL. The record was last updated on Sep 26, 2023.