Individual provider · Type 1 NPI

Jackson Christopher Shampo

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1104400027 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-4242 Map

Other practice locations

  • 11175 Campus St, Loma Linda, CA 92350-1700 · (909) 558-4729

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 1104400027

Jackson Christopher Shampo's National Provider Identifier is 1104400027, issued on May 6, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on May 2, 2022.