Individual provider · Type 1 NPI

Jonathan Gregg McConnell, STUDENT

Student in an Organized Health Care Education/Training Program · Montgomery, AL

NPI number 1114509643 Active

Practice location

2105 E South Blvd
Montgomery, AL 36116-2409

Call (334) 288-2100 Map

Mailing address

716 Liberty Lake Dr
Vestavia, AL 35242-7547

Other practice locations

  • 400 Taylor Rd, Montgomery, AL 36117-3511 · (334) 277-8330
  • 124 S Memorial Dr, Prattville, AL 36067-3619 · (334) 365-0651

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 1114509643

Jonathan Gregg McConnell, STUDENT's National Provider Identifier is 1114509643, issued on Apr 23, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Montgomery, AL. The record was last updated on Apr 23, 2021.