Jeanette Christine Evans in Kula - Clinical
Jeanette Christine Evans - NPI 1215089388
Jeanette Christine Evans is a Clinical in Kula, Hawaii. Jeanette Christine Evans practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeanette Christine Evans is 1215089388. The last update date is 2007-07-08.
Jeanette Christine Evans's current location address is 3095 Kekaulike Ave, Kula, Hawaii. You can contact this provider via phone number 8082446881. The mailing address for Jeanette Christine Evans is 3095 Kekaulike Ave, Kula, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanette Christine Evans |
|---|---|
| Address | 3095 Kekaulike Ave, Kula, Hawaii |
| Phone Number | 8082446881 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DCSW |
NPI Number Detail
| NPI Number | 1215089388 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3095 Kekaulike Ave |
|---|---|
| City | Kula |
| State | Hawaii (HI) |
| Post Code | 967908483 |
| Phone Number | 8082446881 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LSW501 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code issued to Jeanette Christine Evans by the Centers for Medicare & Medicaid Services?
The Jeanette Christine Evans has been assigned the NPI (National Provider Identifier) 1215089388 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jeanette Christine Evans is physically located?
The Jeanette Christine Evans is physically situated at the following address: 3095 Kekaulike Ave, Kula, HI, 967908483.
What is the Jeanette Christine Evans's specialty and taxonomy code?
The Jeanette Christine Evans's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Jeanette Christine Evans receive the assignment of its 1215089388 from the Centers for Medicare & Medicaid Services?
The Jeanette Christine Evans was issued its 1215089388 by the Centers for Medicare & Medicaid Services on 2007-01-17.
As of what date were the details pertaining to Jeanette Christine Evans last refreshed?
The information related to the Jeanette Christine Evans, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC