Individual provider · Type 1 NPI
Jessica Lynn Shane
Student in an Organized Health Care Education/Training Program · Morgantown, WV
NPI number
1073312997
Active
Practice location
11 Pioneer Villas
Morgantown, WV 26508-5968
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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.
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About NPI 1073312997
Jessica Lynn Shane's National Provider Identifier is 1073312997, issued on Mar 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Morgantown, WV. The record was last updated on Mar 12, 2025.