Individual provider · Type 1 NPI

Jackie Rivera, LPN

Student in an Organized Health Care Education/Training Program · Columbia, MO

NPI number 1093260747 Active

Practice location

807 N Providence Rd
Columbia, MO 65203-4359

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2010009084 (MO)

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.

2 other providers at this address

Other student in an organized health care education/training program providers in Columbia

See all in Columbia →

About NPI 1093260747

Jackie Rivera, LPN's National Provider Identifier is 1093260747, issued on Aug 23, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia, MO. The record was last updated on Aug 23, 2016.