Individual provider · Type 1 NPI
Jenna Gagnon I
Student in an Organized Health Care Education/Training Program · Pepperell, MA
NPI number
1194196634
Active
Practice location
32A Elm St
Pepperell, MA 01463-1603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
Another provider at this address
About NPI 1194196634
Jenna Gagnon I's National Provider Identifier is 1194196634, issued on Oct 9, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pepperell, MA. The record was last updated on Oct 9, 2015.