person
Mrs. Mary Jane Evangelista, PHD,DNP,PMHNP
Primary Care Nurse Practitioner in Chicago, Illinois
NPI 1720760010

Mary Jane Evangelista is a Primary Care Nurse Practitioner based in Chicago, IL and is specialized in Primary Care. Mary Jane Evangelista practices in Chicago, IL and has the professional credentials of PHD,DNP,PMHNP. The NPI Number for Mary Jane Evangelista is 1720760010 and holds a License No. 209.027735 (Illinois).

The current practice location address for Mary Jane Evangelista is 3900 N Pine Grove Ave Apt 414, Chicago, IL and can be reached out via phone at 131-291-2344.

Location: 3900 N Pine Grove Ave Apt 414, Chicago, IL, 60613-6641
person
Provider Profile Details
NPI Number
1720760010
Provider Name
Mary Jane Evangelista
Credential
PHD,DNP,PMHNP
Provider Entity Type
Individual
Gender
Female
Address
3900 N Pine Grove Ave Apt 414, Chicago, IL, 60613-6641
Phone Number
131-291-2344
Fax Number
Provider Enumeration Date
08/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3900 N Pine Grove Ave Apt 414
City
State
Zip
60613-6641
Phone Number
131-291-2344
Fax Number
person
Provider Business Mailing Address Details
Address
3900 N Pine Grove Ave Apt 414
City
State
Zip
60613-6641
Phone Number
131-291-2344
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
209.027735 (Illinois)
Definition
Definition to come...
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