Individual provider · Type 1 NPI

Timothy Small

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

NPI number 1093610081 Active

Practice location

2901 Saint Johns Blvd
Joplin, MO 64804-1598

Specialties and licenses

TaxonomyCodeLicense
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 1093610081

Timothy Small's National Provider Identifier is 1093610081, issued on Oct 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Joplin, MO. The record was last updated on Oct 10, 2026.