Individual provider · Type 1 NPI

Javeria Mohammad Fazalullah

Student in an Organized Health Care Education/Training Program · Evansville, IN

NPI number 1336084896 Active

Practice location

801 St. Mary's Drive, Suite 300
Evansville, IN 47714-0511

Call (812) 485-5900 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336084896

Javeria Mohammad Fazalullah's National Provider Identifier is 1336084896, issued on Apr 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Evansville, IN. The record was last updated on Aug 6, 2026.