NPI

Jessica Elizabeth Evans

NPI 1396086740

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
LMBT MMT
Type
Individual
Enumeration date
2013-03-11
Last updated
2022-11-30

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Specialties

Licenses

License NC
10524

Location

Practice location
4200 Glendale Rd
City
Kenly NC
Postal code
27542-9757
Phone
(919) 841-6742

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Kenly, NC. 45 records in the public file.

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