Individual provider · Type 1 NPI

Samuel Tyler Jines

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1043055320 Active

Practice location

340 W 10th St
Indianapolis, IN 46202-3082

Call (270) 792-9090 Map

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 1043055320

Samuel Tyler Jines's National Provider Identifier is 1043055320, issued on Jun 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 27, 2024.