Individual provider · Type 1 NPI
Destiny Prisock
Student in an Organized Health Care Education/Training Program · Gallion, AL
NPI number
1013753854
Active
Practice location
109 Olive Dr
Gallion, AL 36742-2415
Mailing address
PO Box 208
Gallion, AL 36742-0208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1013753854
Destiny Prisock's National Provider Identifier is 1013753854, issued on Jul 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gallion, AL. The record was last updated on Jul 2, 2024.