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

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 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.