Jacqueline Patricia Evenson, CNOR RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

26NO12053400 Issued in NJ

Practice address

21 Hartford Dr
Egg Harbor Township, NJ 08234-6996

Phone

(609) 601-9772

NPI assigned

Feb 1, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Je Surgical Assistant

  • Nursing Care Agency
  • Egg Harbor Township, NJ
  • NPI 1891203220
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233446400000",
    "number": "1407094287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HARTFORD DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082346996",
            "telephone_number": "609-601-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HARTFORD DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082346996",
            "telephone_number": "609-601-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENSON",
        "first_name": "JACQUELINE",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "CNOR RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-01",
        "last_updated": "2009-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NO12053400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britany Faith Epstein
• Elaine Espiritu-Uy, FNP-C
• Ava Estrada
• Roman Evangelista
• Anthony Evans
• Exceptional Anesthesia Associates
• Theresa Ann Fahy, RN
• Jeannine Fanelli, PHARMD
• Bella Fardzinova
• Caitlin Elizabeth Farley

• Registered Nurse First Assistant in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Registered Nurse First Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.