IndividualActive
Tara Evans
NPI 1942139092 · Licensed Vocational Nurse · Macclenny, FL
Provider details
- NPI number
- 1942139092
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sole proprietor
- No
- License
- PN5236387 (FL)
Specialties & taxonomies
Nursing Service Providers
Practice location
235 E Ohio Ave
Macclenny, FL 32063-2139
Phone: (904) 450-3258
Approximate (ZIP-level) locationGet directions
Mailing address
235 E Ohio Ave
Macclenny, FL 32063-2139
Registry dates
- Enumerated
- 2026-05-15
- Last updated
- 2026-05-15
- Certified
- 2026-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.