Evanoff, Jayna

Evanoff, Jayna is an individual health care provider with primary practice located at 8515 Pearl St #203, Thornton CO 80229-4810. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Evanoff, Jayna can be contacted via phone (303) 274-1750.

Contact Information

Primary practice address
8515 Pearl St #203 Thornton CO 80229-4810
Phone: (303) 274-1750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHA-16198 Colorado
Pharmacy Service Providers / Pharmacist 183500000X 12461 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1642 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-16827 California

Profile Details

NPI number 1922009828
LBN Legal business name Evanoff, Jayna
Credentials PHARMD PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922009828 NPPES
Colorado MEDICAID 76853527

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