Individual provider · Type 1 NPI

Taylor Jack Helmboldt

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1124820105 Active

Practice location

920 Madison Ave
Memphis, TN 38103-3438

Call (901) 448-5500 Map

Mailing address

371 Bubby Dr
Collierville, TN 38017-1025

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 1124820105

Taylor Jack Helmboldt's National Provider Identifier is 1124820105, issued on Mar 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Mar 27, 2025.