Individual provider · Type 1 NPI

Jeremy Thomas Bose

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number 1144080029 Active

Practice location

601 Childrens Ln
Norfolk, VA 23507-1910

Mailing address

5823 Cross Point Ct
Waxhaw, NC 28173-7103

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 1144080029

Jeremy Thomas Bose's National Provider Identifier is 1144080029, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Mar 19, 2024.