Individual provider · Type 1 NPI

Aliza Jordan

Student in an Organized Health Care Education/Training Program · University, MS

NPI number 1235970625 Active

Practice location

PO Box 1848
University, MS 38677-1848

Mailing address

2515 Allen Rd
Smithdale, MS 39664-4081

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1235970625

Aliza Jordan's National Provider Identifier is 1235970625, issued on Jun 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in University, MS. The record was last updated on Jun 1, 2024.