Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN JAMES JACKELEN
Active Sole ProprietorEVAN JAMES JACKELEN is a Home Health healthcare provider located in EAU CLAIRE, Wisconsin. NPI 1588152896 is currently active in the NPPES registry. Verify at CMS.
Home Health · EAU CLAIRE, WI
Registration Details
- NPI Number
- 1588152896
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2018 (8.3380154187023 yrs)
- Last Updated
- Apr 23, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
3721 HALLIE LNEAU CLAIRE, WI, 547031185Browse WI providers · Browse ZIP 54703
- Phone
- 7155339460
- Primary Specialty
-
Home Health
251E00000X
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.