Individual provider · Type 1 NPI

Jennifer Song

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1003519216 Active

Practice location

26224 N Tatum Blvd Ste 5
Phoenix, AZ 85050-7500

Call (480) 882-7580 Map

Fax (480) 563-7442

Mailing address

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109

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 1003519216

Jennifer Song's National Provider Identifier is 1003519216, issued on Mar 24, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 2, 2024.