Evan Clise
Evan Clise is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
820 Prudential Dr Ste 510Jacksonville, FL 32207-8207
Phone: (904) 376-3800
Fax: (904) 390-7398
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1255269239 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 11, 2026 |
| Last updated in NPPES | June 24, 2026 |
| Certification date | June 24, 2026 |
| Mailing address | Po Box 748519, Atlanta, GA 30374-8519 |
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