MRS. JACQUELINE ANN EVELAND N.P. NPI 1780815100

NPI Information

NPI: 1780815100
Provider Name: MRS. JACQUELINE ANN EVELAND, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
209 E JEFFERSON ST
PLYMOUTH, IN
ZIP 46563
Phone: (574) 941-3111
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MRS. Jacqueline Ann Eveland, N.P. is a family nurse practitioner in Plymouth, IN. MRS. Jacqueline Ann Eveland, N.P. NPI is 1780815100. 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:

209 E JEFFERSON ST
PLYMOUTH, IN
ZIP 46563-861
Phone: (574) 941-3111
Fax: (574) 335-0745

The enumeration date for this NPI number is 8/3/2009 and was last updated on 5/7/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	28130507A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000660693	OTHER	INDIANA	BCBS
2	M400020543	MEDICARE PIN	INDIANA
3	P01207571	MEDICARE PIN	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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