Individual provider · Type 1 NPI

Jay Staley

Student in an Organized Health Care Education/Training Program · Evanston, WY

NPI number 1265214688 Active

Practice location

350 City View Dr Ste 206
Evanston, WY 82930-5326

Fax (307) 789-6009

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 1265214688

Jay Staley's National Provider Identifier is 1265214688, issued on Oct 19, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Evanston, WY. The record was last updated on Oct 19, 2023.