Individual provider · Type 1 NPI

Jacqueline Emily Evernham, PA-C

Surgical Physician Assistant · Flower Mound, TX

NPI number 1740657568 Active

Practice location

5000 Long Prairie Rd Ste 100
Flower Mound, TX 75028-2783

Fax (972) 221-8685

Other practice locations

  • 500 W Main St Ste 230, Lewisville, TX 75057-3640 · (972) 866-4246

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA13954 (TX)
Surgical Physician Assistant 363AS0400X1014 (SD)
Surgical Physician Assistant 363AS0400X079660 (IA)

Surgical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1740657568

Jacqueline Emily Evernham, PA-C's National Provider Identifier is 1740657568, issued on Aug 27, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Flower Mound, TX. The record was last updated on Jan 27, 2026.