Individual provider · Type 1 NPI
Ross Campbell Dejarnatt
Student in an Organized Health Care Education/Training Program · New Orleans, LA
NPI number
1104453620
Active
Practice location
2000 Canal St
New Orleans, LA 70112-3018
Mailing address
2401 S 31st St
Temple, TX 76508-0001
Other practice locations
- 2401 S 31st St, Temple, TX 76508-0001 · (254) 724-0108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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 1104453620
Ross Campbell Dejarnatt's National Provider Identifier is 1104453620, issued on Mar 25, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Orleans, LA. The record was last updated on May 8, 2023.