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NPI Code Detail

MEDICARE: JAMEELAH EVANS

MEDICARE:   JAMEELAH  EVANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247000000XHealth Information Technician

General Provider Information

NPI Number : 1285426932
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMEELAH EVANS
Provider Business Mailing Address
First Line : 1470 E LYNWOOD DR APT N
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92404-2775
Country : US
Telephone Number : 909-496-0037
Fax Number :
Provider Business Practice Location Address
First Line : 1470 E LYNWOOD DR APT N
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92404-2775
Country : US
Telephone Number : 909-496-0037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2025
Last Update Date : 05/20/2025

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Directions to “ JAMEELAH EVANS ” Practice Location

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