NPI 1104126242
Jane Evans
Practice location
- Address
- 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952
- Phone
- (573) 596-1765
- Fax
- (573) 596-4900
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1104126242
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Oct 2010
- Record last updated
- 22 Oct 2010
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.