Active NPI
Jammie Lynn Evans, LPN
- Licensed Practical Nurse
- Monroe, MI
National Provider Identifier
1366012452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703121707
- Practice address
- 3250 N Monroe St
Monroe, MI 48162-9297 - Phone
- (734) 384-3402
- Fax
- (734) 384-3420
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703121707 | MI | Primary |
Addresses
Primary practice location
3250 N Monroe St
Monroe, MI 48162-9297
Mailing address
7205 War Rd
Newport, MI 48166-9309
Phone (734) 819-8636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703121707 | MI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1366012452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7205 WAR RD",
"city": "NEWPORT",
"state": "MI",
"postal_code": "481669309",
"telephone_number": "734-819-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481629297",
"telephone_number": "734-384-3402",
"fax_number": "734-384-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JAMMIE",
"middle_name": "LYNN",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703121707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.