Jacquelyn Evans, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Commerce TWP, MI
NPI 1922087063 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1922087063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4704067110 (MI)
- Practice address
- 1 William Carls Dr
Commerce TWP, MI 48382-2201 - Phone
- (248) 937-3307
- NPI assigned
- Jan 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704067110 | MI | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704067110 | MI | Yes |
Addresses
Primary practice location
1 William Carls Dr
Commerce TWP, MI 48382-2201
Mailing address
PO Box 67000
Dept 203401
Detroit, MI 48267-0002
Phone (952) 442-9770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JE067110 | Other | MI | BLUE CROSS OF MI |
Other providers in Commerce TWP, MI
- Dream Dental Group PLLC
- Edgewood Center Otolaryngology, PC
- Robert J Elwell
- Theodore George Engelmann
- Erin M Buerschen LLC
- Hussein Fardous
- Tiffany Farley
- Alan L Feldman
- Linda F Fershtman
- Julie Finn
All providers in Commerce TWP, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.