Individual provider · Type 1 NPI

Jordan Colbert Watts

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1174101992 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

240 Greenfield Ridge Dr
Brandon, MS 39042-7020

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 1174101992

Jordan Colbert Watts's National Provider Identifier is 1174101992, issued on Apr 1, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Apr 1, 2021.