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EVAN CLISE
NPI 1255269239
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since May 11, 2026
820 PRUDENTIAL DR STE 510, JACKSONVILLE, FL 32207(904) 376-3800(904) 390-7398 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Clise NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN CLISE (NPI 1255269239) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1255269239
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEVAN CLISE
Location Address820 PRUDENTIAL DR STE 510Jacksonville, FL 32207-8207
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Phone(904) 376-3800
Fax(904) 390-7398
Sole ProprietorNo
Enumeration DateMay 11, 2026
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1255269239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
820 PRUDENTIAL DR STE 510, Jacksonville, FL 32207
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA NELSEN APRN
Nurse Practitioner (Psychiatric/Mental Health)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
JOSEPH VELASQUEZ PSY.D.
Student in an Organized Health Care Education/Training Program
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
RASHARIA C. CASON LCSW
Social Worker (Clinical)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
CHELSEA TAYLOR MOON-TISON
Social Worker (Clinical)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DANIELA WOODWARD
Student in an Organized Health Care Education/Training Program
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
ALICIA S EVANS
Nurse Practitioner (Psychiatric/Mental Health)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DONALD POLLOCK MD.
Psychiatry & Neurology (Psychiatry)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
RYAN MICHAEL MOROZE M.D.
Psychiatry & Neurology (Psychiatry)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Clise's NPI number?

The NPI number for Evan Clise is 1255269239. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Evan Clise located?

Evan Clise practices at 820 Prudential Dr Ste 510, Jacksonville, FL 32207. The listed phone number is (904) 376-3800.

What is Evan Clise's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Evan Clise was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.