Individual provider · Type 1 NPI
Jalae Tiane Parker
Student in an Organized Health Care Education/Training Program · Youngstown, OH
NPI number
1124740774
Active
Practice location
1 University Plz
Youngstown, OH 44555-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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 1124740774
Jalae Tiane Parker's National Provider Identifier is 1124740774, issued on Sep 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Youngstown, OH. The record was last updated on Sep 12, 2022.