| Jill Christine Evans, NP | |
|
420 W Longest St, Paoli, IN 47454-8821 | |
| (812) 723-3944 | |
| (812) 723-7991 |
| Full Name | Jill Christine Evans |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 420 W Longest St, Paoli, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386955185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71003310A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 28151219A (Indiana) | Primary |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Entity Name | Indiana University Health Paoli Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457519324 PECOS PAC ID: 2668426016 Enrollment ID: O20050308001174 |
| Entity Name | Fc Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225579063 PECOS PAC ID: 8820360001 Enrollment ID: O20170823001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Christine Evans, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Jill Christine Evans, NP 420 W Longest St, Paoli, IN 47454-8821 Ph: (812) 723-3944 |
Mackenzie Elise Gaw, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3994 | |
Jaclynn Marie Thacker, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944 | |
Michael Daggy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7451 Fax: 812-723-7508 | |
Linda Carol Wells-freiberger, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 202 Cherry Street, Paoli, IN 47454 Phone: 812-723-0150 | |
Shannon Malena Dooley, N. P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944 Fax: 812-723-5292 | |
Sarah Jones Whiteman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 W Longest Street, Paoli, IN 47454 Phone: 812-723-7440 |