Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alisha Victoria Clark

Individual provider Independent Duty Medical Technicians · NPI 1205502655

Alisha Victoria Clark is an Independent Duty Medical Technicians in Tallahassee, Florida. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021

Practice location Address checks out

2507 Old Saint Augustine Rd
Tallahassee, FL 32301-6209
Phone: (866) 466-2475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X · Licence E2027750 (TX)

Record details

NPI number1205502655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2021
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021