Individual provider · Type 1 NPI

Jason Brian Creel

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1154229409 Active

Practice location

121 Downey Ave
Modesto, CA 95354-1208

Call (209) 341-1824 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 1154229409

Jason Brian Creel's National Provider Identifier is 1154229409, issued on Oct 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on Oct 29, 2026.