Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY WAYNE EVERSOLE, LPN
Active Sole ProprietorJERRY WAYNE EVERSOLE, LPN is a Licensed Practical Nurse healthcare provider located in HANOVER, Indiana. NPI 1578273488 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · HANOVER, IN
Registration Details
- NPI Number
- 1578273488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2022 (3.6944094754934 yrs)
- Last Updated
- Dec 1, 2022
- License
-
27065312A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
338 E LAGRANGE RDHANOVER, IN, 472439618Browse IN providers · Browse ZIP 47243
- Phone
- 8122734640
- Fax
- 8122732925
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.