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JENNY SUE EVERSMAN PTA NPI 1568793248


NPI Information

NPI: 1568793248
Provider Name: JENNY SUE EVERSMAN, PTA
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2827 NORTHGATE BLVD
FORT WAYNE, IN
ZIP 46835
Phone: (260) 715-2850
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Jenny Sue Eversman, PTA is a specialist in Fort Wayne, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jenny Sue Eversman, PTA NPI is 1568793248. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2827 NORTHGATE BLVD
FORT WAYNE, IN
ZIP 46835-900
Phone: (260) 715-2850

The enumeration date for this NPI number is 1/20/2010 and was last updated on 1/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist06002991AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.