Individual provider · Type 1 NPI

Brady Nicole Kaucic

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

NPI number 1255036802 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

7471 Cedar Rd
Chesterland, OH 44026-3403

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 1255036802

Brady Nicole Kaucic's National Provider Identifier is 1255036802, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Apr 3, 2023.