Individual provider · Type 1 NPI
Jordan Andrew Dutton
Student in an Organized Health Care Education/Training Program · Lubbock, TX
NPI number
1093228983
Active
Practice location
5503 Auburn St
Lubbock, TX 79416-1423
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.
Another provider at this address
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About NPI 1093228983
Jordan Andrew Dutton's National Provider Identifier is 1093228983, issued on Nov 14, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lubbock, TX. The record was last updated on Nov 14, 2017.