Individual provider · Type 1 NPI

Jacob Buckner, MD

Student in an Organized Health Care Education/Training Program · Greenville, NC

NPI number 1215433594 Active

Practice location

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Call (252) 744-4400 Map

Mailing address

6219 Broadmeadow
San Antonio, TX 78240-2261

Other practice locations

  • 4502 Medical Dr, San Antonio, TX 78229-4402 · (210) 358-4000

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 1215433594

Jacob Buckner, MD's National Provider Identifier is 1215433594, issued on Apr 4, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greenville, NC. The record was last updated on Apr 22, 2024.