NPI 1891559894
Evernorth Care Providers - Delaware PA
Practice location
- Address
- 1045 Elm St STE 204, Manchester, NH 03101-1844
- Phone
- (773) 292-4800
- Fax
- (312) 564-4059
- Mailing address
- 730 Cool Springs Blvd STE 500, Franklin, TN 37067-7331
Authorised official
- Name
- Jacqueline D Lakes
- Title
- Senior Paralegal
- Phone
- (954) 446-0640
Registered specialties
General Practice Physician
Primary
Registry record
- NPI
- 1891559894
- Entity type
- Organization
- NPI issued
- 9 Feb 2024
- Record last updated
- 14 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.