Jennifer Therese Evans (NPI# 1083094718, PAC ID# 2567770290) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083094718 |
| PAC ID by PECOS | 2567770290 |
| Professional Enrollment ID | I20150930001044 |
| Full Name | Jennifer Therese Evans |
| Organization Legal Name | BON SECOURS DEPAUL MEDICAL CENTER INC |
| Address |
150 Kingsley Ln Norfolk VA 23505-4602 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082517982 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490011 | BON SECOURS DEPAUL MEDICAL CENTER |
| 490017 | BON SECOURS MARYVIEW MEDICAL CENTER |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 150 Kingsley Ln, Norfolk, VA 23505-4602 | BON SECOURS DEPAUL MEDICAL CENTER INC | |
| 155 Kingsley Ln, Norfolk, VA 23505-4629 | BON SECOURS DEPAUL MEDICAL CENTER INC |
| Organization Legal Name | BON SECOURS DEPAUL MEDICAL CENTER INC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kacie L Schappert | Physician Assistant | Bon Secours Depaul Medical Center Inc | 908 Eden Way N, Suite 101, Chesapeake, VA 23320-3336 |
| Amira Siddig Elhassan | Family Medicine | Bon Secours Depaul Medical Center Inc | 4421 Virginia Beach Blvd, Suite 114, Virginia Beach, VA 23462-3114 |
| Michele Anne Nedelka | Radiation Oncology | Bon Secours Depaul Medical Center Inc | 155 Kingsley Ln, Suite 100, Norfolk, VA 23505-4630 |
| Jainy John | Certified Registered Nurse Anesthetist (crna) | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Jason M Mchugh | Sports Medicine | Bon Secours Depaul Medical Center Inc | 930 W 21st St, Suite 100, Norfolk, VA 23517-1516 |
| Jennifer B Fortune | Physician Assistant | Bon Secours Depaul Medical Center Inc | 1253 Nimmo Pkwy, Suite 110, Virginia Beach, VA 23456-7782 |
| Gregory Adams | General Surgery | Bon Secours Depaul Medical Center Inc | 155 Kingsley Ln, Suite 405, Norfolk, VA 23505-4629 |
| Pamela M Smith | Certified Registered Nurse Anesthetist (crna) | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Bradley R Prestidge | Radiation Oncology | Bon Secours Depaul Medical Center Inc | 7185 Harbour Towne Pkwy S, Suite 108, Suffolk, VA 23435-3796 |
| Donna B Dowell | Nurse Practitioner | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Street Address |
150 KINGSLEY LN |
| City | NORFOLK |
| State | VA |
| Zip | 23505-4602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jainy John | Certified Registered Nurse Anesthetist (crna) | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Pamela M Smith | Certified Registered Nurse Anesthetist (crna) | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Brian S Weaver | Anesthesiology | Southeast Anesthesiology Consultants of Virginia, Pllc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Donna B Dowell | Nurse Practitioner | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Mary C Whitehurst | Internal Medicine | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Diane M Maia | Pathology | Kingsley Lane Anatomic Pathology | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Aron R Boney | Family Medicine | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Nathaniel M Apatov | Certified Registered Nurse Anesthetist (crna) | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Ashley M Buchanan | Certified Registered Nurse Anesthetist (crna) | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Christopher T Luttig | Emergency Medicine | Emergency Medicine Associates Pa PC | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maciej S Tobola | Diagnostic Radiology | Hampton Roads Radiology Associates, PC | 150 Kingsley Lane, Norfolk, VA 23505 |
| Alexander C Chako | Diagnostic Radiology | Hampton Roads Radiology Associates, PC | 150 Kingsley Lane, Norfolk, VA 23505 |
| Jonathan Hill | Diagnostic Radiology | Hampton Roads Radiology Associates, PC | 150 Kingsley Lane, Norfolk, VA 23505 |
| Andrew Loiacono | Diagnostic Radiology | Hampton Roads Radiology Associates, PC | 150 Kingsley Lane, Norfolk, VA 23505 |
| Christopher Todd Kuzniewski | Diagnostic Radiology | Hampton Roads Radiology Associates, PC | 150 Kingsley Lane, Norfolk, VA 23505 |
| Ashishkumar A Vachhani | Diagnostic Radiology | Hampton Roads Radiology Associates, PC | 150 Kingsley Lane, Norfolk, VA 23505 |
| David R Malin | Diagnostic Radiology | Hampton Roads Radiology Associates, PC | 150 Kingsley Lane, Norfolk, VA 23505 |
| Muhammad A Siddiky | Interventional Radiology | Hampton Roads Radiology Associates, PC | 150 Kingsley Lane, Norfolk, VA 23505 |
| Arsenio Manlanggit Ong | General Practice | 1232 W Little Creek Rd, Suite 300, Norfolk, VA 23505-1952 | |
| Joel Norman Zaba | Optometry | Dr Joel N. Zaba Ltd | 1232 W Little Creek Rd, Norfolk, VA 23505-1952 |
| Find all physicians in zip 23505 | |||
| City | NORFOLK |
| Zip Code | 23505 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NORFOLK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer Therese Evans.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.