JESSICA DARE EVANS (NPI# 1861817413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861817413 |
Entity Type | Individual |
Full Name | JESSICA DARE EVANS |
Practice Address |
611 Zeagler Dr Palatka FL 32177-3810 |
Practice Telephone | 3863285711 |
Mailing Telephone | 3863285711 |
Enumeration Date | 2014-02-19 |
Last Update Date | 2014-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9212876 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902369887 | Jessica Evans | Occupational Therapist | 57 Sanford Pl, Altamont, NY 12009-9253 | 2019-04-09 |
1255804571 | Jessica Evans | Licensed Vocational Nurse | 12903 Sugar Ridge Blvd Apt 3004, Stafford, TX 77477-3141 | 2019-01-09 |
1487149027 | Jessica Evans | Specialist | 26 Landview Dr, Dix Hills, NY 11746-5844 | 2018-06-26 |
1962925800 | Jessica Evans | Social Worker | 1350 S Lapeer Rd, Oxford, MI 48371-6106 | 2017-07-23 |
1386184760 | Jessica Evans | Behavior Technician | 2500 Gulf Beach Hwy, Pensacola, FL 32507-2831 | 2017-03-03 |
1437526225 | Jessica Ann Evans | Specialist/Technologist | 11610 Chanticleer Dr, Pensacola, FL 32507-9168 | 2015-08-27 |
1407260888 | Jessica Evans | Physical Therapy Assistant | 925 Highway 25, Strawberry, AR 72469-8570 | 2014-06-13 |
1962786095 | Jessica Lyn Evans | Advanced Practice Midwife | 3219 Clifton Ave., Ste. 210, Cincinnati, OH 45220-3041 | 2011-10-07 |
1598918914 | Jessica Lynne Evans | Speech-Language Pathologist | 423 Western Avenue, Albany, NY 12203 | 2008-10-29 |
1659435964 | Jessica E Evans | Speech-Language Pathologist | 2801 Ponce De Leon Blvd, Coral Gables, FL 33134-6924 | 2006-12-21 |
Street Address |
611 ZEAGLER DR |
City | PALATKA |
State | FL |
Zip Code | 32177-3810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447244058 | Jennifer Lee Hart | Nurse Anesthetist, Certified Registered | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2005-09-09 |
1487120812 | Michele Cole | Registered Nurse | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2018-10-24 |
1619485760 | Brandon Dewayne Morgan | Student in an Organized Health Care Education/Training Program | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2018-01-10 |
1174038970 | Andrew Brian Kirkland | Physician Assistant | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-12-04 |
1295274546 | Jennifer Dye Standridge | Skilled Nursing Facility | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-02-20 |
1003352782 | Lindsey Fletcher | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-18 |
1437694056 | Brandi Rae Curtis | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-05 |
1609228196 | Vincent Demond Wright | Nurse Anesthetist, Certified Registered | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2016-07-07 |
1710331665 | Tamara Baxter | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2016-04-18 |
1740676220 | Putnam Community Medical Center of North Florida, LLC | Medicare Defined Swing Bed Unit | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2015-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
Find all providers in zip 32177 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417562851 | Taylor Bray Delarm | Nurse Practitioner | 119 Pine Oak Dr, Palatka, FL 32177-7905 | 2020-09-12 |
1609408160 | Molly Joan Hernandez | Nurse Practitioner | 301 Viking St, Palatka, FL 32177-3846 | 2020-02-12 |
1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
1538692736 | Andrea Leary | Nurse Practitioner | 205 Zeagler Dr Ste 101, Palatka, FL 32177-3860 | 2017-04-05 |
1144732504 | Thomas Llewellyn Christopher | Nurse Practitioner | 6500 Crill Ave, Palatka, FL 32177-9230 | 2017-10-25 |
1003352782 | Lindsey Fletcher | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-18 |
1437694056 | Brandi Rae Curtis | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-01-05 |
1710331665 | Tamara Baxter | Nurse Practitioner | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2016-04-18 |
1881002863 | Laurie Hamilton | Nurse Practitioner | 330 Kay Larkin Dr, Palatka, FL 32177-2307 | 2014-07-23 |
1225262108 | Michael Allen Hicks | Nurse Practitioner | 205 Zeagler Dr, Palatka, FL 32177-3888 | 2009-05-07 |
Find all providers in PALATKA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.