Individual ProviderJeffrey Allan EvansStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1313 E Herndon Ave Ste 105, Fresno, CA 93720-3306(559) 450-5375PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey Allan Evans does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1962996991Provider TypeIndividualFull NameEvans, Jeffrey AllanCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/22/2018Last Updated6/22/2018Contact InformationPractice LocationPractice Address1313 E Herndon Ave Ste 105, Fresno, CA 93720-3306Phone(559) 450-5375FaxUnlisted FaxMailing LocationMailing Address1313 E Herndon Ave Ste 105, Fresno, CA 93720-3306PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCalifornia