Individual provider · Type 1 NPI

Jonathan Paul Derryberry

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1184474652 Active

Practice location

1400 Pelham Pkwy S Rm 6S11
Bronx, NY 10461-1197

Call (718) 918-5000 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 1184474652

Jonathan Paul Derryberry's National Provider Identifier is 1184474652, issued on Mar 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Mar 26, 2024.