Individual provider · Type 1 NPI

Jacob Worden

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1063209864 Active

Practice location

21 Ortho Lane, Som SUITE/5TH Floor
Atlanta, GA 30329

Call (404) 778-2516 Map

Mailing address

21 Ortho Ln
Atlanta, GA 30329-2315

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 1063209864

Jacob Worden's National Provider Identifier is 1063209864, issued on Apr 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 17, 2026.