Individual provider · Type 1 NPI
Jordan Sheppard
Student in an Organized Health Care Education/Training Program · Germantown, MD
NPI number
1083162382
Active
Practice location
5 Eternity Ct
Germantown, MD 20874-6103
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 1083162382
Jordan Sheppard's National Provider Identifier is 1083162382, issued on Sep 14, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Germantown, MD. The record was last updated on Sep 14, 2016.