Individual provider · Type 1 NPI

Jordan Anthony

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1194350009 Active

Practice location

3409 N Downer Ave
Milwaukee, WI 53211-2934

Mailing address

8927 W Hawthorne Ave
Milwaukee, WI 53226-4703

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 1194350009

Jordan Anthony's National Provider Identifier is 1194350009, issued on Mar 11, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 11, 2020.