Individual provider · Type 1 NPI

Destiny Fells

Student in an Organized Health Care Education/Training Program · Round Rock, TX

NPI number 1114874963 Active

Practice location

2851 Joe Dimaggio Blvd
Round Rock, TX 78665-3927

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 1114874963

Destiny Fells's National Provider Identifier is 1114874963, issued on Mar 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Round Rock, TX. The record was last updated on Mar 11, 2026.