Individual provider · Type 1 NPI

Jam Mia Marcy M. Yu

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1174494744 Active

Practice location

808 N 19th St Apt 308
Philadelphia, PA 19130-2096

Call (786) 797-6866 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XPI128115 (PA)
Student in an Organized Health Care Education/Training Program Primary 390200000XPI128115 (PA)

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 1174494744

Jam Mia Marcy M. Yu's National Provider Identifier is 1174494744, issued on Sep 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 16, 2025.