Jerry Wayne Eversole, LPN

NPI #1578273488 in Hanover, Indiana

Provider Information

NPI Number
1578273488
Entity Type
Individual
Name
Jerry Wayne Eversole, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Dec 1, 2022
Last Updated
Dec 1, 2022

Practice Location

Address
338 E LAGRANGE RD
State
Indiana
ZIP Code
47243-9618
Phone
(812) 273-4640

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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