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

Jade Gisele Evenstad

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386447605

Jade Gisele Evenstad is a Student in an Organized Health Care Education/Training Program in Wilkes Barre, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

166 Hanover St
Wilkes Barre, PA 18702-3549
Phone: (570) 808-8780
Fax: (570) 808-8785
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1386447605
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

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