Individual provider · Type 1 NPI

Jade Gisele Evenstad

Student in an Organized Health Care Education/Training Program · Wilkes Barre, PA

NPI number 1386447605 Active

Practice location

166 Hanover St
Wilkes Barre, PA 18702-3549

Call (570) 808-8780 Map

Fax (570) 808-8785

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 1386447605

Jade Gisele Evenstad's National Provider Identifier is 1386447605, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Mar 31, 2025.