Individual provider · Type 1 NPI

Jessica Elder

Student in an Organized Health Care Education/Training Program · Coralville, IA

NPI number 1063931301 Active

Practice location

2212 E Grantview Dr
Coralville, IA 52241-1396

Other practice locations

  • 2212 E Grantview Dr, Coralville, IA 52241-1396 · (217) 246-2921
  • 2212 E Grantview Dr, Coralville, IA 52241-1396 · (217) 246-2921

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1063931301

Jessica Elder's National Provider Identifier is 1063931301, issued on Sep 19, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Coralville, IA. The record was last updated on Jul 21, 2022.