Jeanene Evans, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-309919 Issued in PA

Practice address

55 Niedhawk LN
Mohnton, PA 19540-7782

Phone

(215) 380-5825

NPI assigned

Feb 8, 2023

Last updated

Feb 8, 2023By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1639876840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NIEDHAWK LN",
            "city": "MOHNTON",
            "state": "PA",
            "postal_code": "195407782",
            "telephone_number": "215-380-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NIEDHAWK LN",
            "city": "MOHNTON",
            "state": "PA",
            "postal_code": "195407782",
            "telephone_number": "215-380-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JEANENE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "PA",
            "license": "L-309919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie L Brown, CRNP
• C&M Anesthesia, LLP
• Sarah Clemmer
• Lauren Elizabeth Diaz-Cruz, RD
• East Coast Recovery Services
• John Henry Evans, SLP
• Joseph Michael Gallo, R.PH.
• Meagan Lee Good, MA, LPC
• Grey Muzzle Manor Sanctuary, Inc.
• Nicole Hatt, MSW, LSW

• Lactation Consultant (Registered Nurse) in Mohnton, PA
• Providers in Mohnton, PA by specialty
• Lactation Consultant (Registered Nurse) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.