Individual provider · Type 1 NPI

Jacob Ryan Nusbaum

Student in an Organized Health Care Education/Training Program · Camp Pendleton, CA

NPI number 1003750837 Active

Practice location

H200 Mercy Circle
Camp Pendleton, CA 92055

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 1003750837

Jacob Ryan Nusbaum's National Provider Identifier is 1003750837, 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 Camp Pendleton, CA. The record was last updated on Apr 14, 2026.