Jacquelyn R Evans
Neonatal-Perinatal Doctor
3401 Civic Center Blvd Children's Hospital Of Philadelphia - Neonatology
Philadelphia
, Pennsylvania 19104-4319
Jacquelyn R Evans
Neonatal-Perinatal Doctor
3401 Civic Center Blvd Children's Hospital Of Philadelphia - Neonatology
Philadelphia
, Pennsylvania 19104-4319
(267) 425-9299
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About
Features
Specialties
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Jacquelyn R Evans
- 100 E Penn Sq 9th Floor
- Philadelphia, PA
- Zip : 19107-3323
- Fax : (267) 425-9299
- Phone : (267) 425-9234
Second Address
- Jacquelyn R Evans
- 3401 Civic Center Blvd Children's Hospital Of Philadelphia - Neonatology
- Philadelphia, PA
- Zip : 19104-4319
- Fax : (215) 590-4454
- Phone : (215) 590-1944
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | MD053430L | PA |
National Provider Identifier
| NPI | 1043255334 |
|---|---|
| Provider Name | Jacquelyn R Evans |
| First Address | Philadelphia, PA 19107-3323 |
| Second Address | Philadelphia, PA 19104-4319 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2006 |
| Last Update Date | 16/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0014807880003 | (05) | PA |
| 6337007 | (05) | NJ |
| F04162 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.