Individual provider · Type 1 NPI

Eva Jean Willis

Student in an Organized Health Care Education/Training Program · Pleasant Grove, UT

NPI number 1700729555 Active

Practice location

1912 W 930 N
Pleasant Grove, UT 84062-4104

Call (801) 492-1999 Map

Fax (801) 492-1991

Mailing address

1156 Cedar Ave
Provo, UT 84604-2858

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 1700729555

Eva Jean Willis's National Provider Identifier is 1700729555, issued on Apr 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pleasant Grove, UT. The record was last updated on Apr 14, 2026.