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Contact Information

EVANS JACKSON
39 SUB BASE
SAINT THOMAS, VI00803
 Phone: 340-227-7579
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for EVANS JACKSON · (Male)

NPI # 1063951945
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2017
Last updated 02/13/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • VI License # 1869766
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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