Individual provider · Type 1 NPI

Jake Johnson

Student in an Organized Health Care Education/Training Program · Pella, IA

NPI number 1144708652 Active

Practice location

812 University St
Pella, IA 50219-1902

Call (877) 462-3687 Map

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 1144708652

Jake Johnson's National Provider Identifier is 1144708652, issued on Aug 6, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pella, IA. The record was last updated on Aug 6, 2018.