Jacqueline Meryl Evans
MD | Pediatric Critical Care Medicine | Female
Jacqueline Meryl Evans, MD is a Richmond, Virginia based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Jacqueline Meryl Evans is
5801 Bremo Rd, Richmond, Virginia - 23226-1907. She can be contacted on phone at
916-397-5585.
Jacqueline Meryl Evans is a sole proprietor of her business.
NPI number (Unique professional ID) for Jacqueline Meryl Evans is
1588755441 which was assigned by NPPES on 27 Sep, 2006 and it was last updated on 14 May, 2022.
Jacqueline Meryl Evans license number is
0101266378 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Virginia.
Jacqueline Meryl Evans is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Jacqueline Meryl Evans basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Jacqueline Meryl Evans |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Jacqueline Meryl Evans address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5801 Bremo Rd
Richmond, VA, 23226-1907
United States |
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| Phone Number : | 916-397-5585 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1588755441 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Sep, 2006 |
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| Last Updated On : | 14 May, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline Meryl Evans are as mentioned. Primary taxonomy code for Jacqueline Meryl Evans, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207RC0200X | Internal Medicine Critical Care Medicine | No | G87264 | CA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | MD-44596 | IA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 0101266378 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Jacqueline Meryl Evans such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00G872640 | MEDICAID | CA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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2818 AUDUBON CIR,
DAVIS, CA, 95618-7600
United States | DAVIS, CA | 916-397-5585 |
4650 W SUNSET BLVD, MS# 12
LOS ANGELES, CA, 90027-6062
United States | LOS ANGELES, CA | 323-669-2557 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6004 Manor Park Ter
Glen Allen, VA, 23059-5496
United States |
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| Phone Number : | 916-397-5585 |
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Business Location:
Patients can refer following map for directions to
Jacqueline Meryl Evans practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.