Individual provider · Type 1 NPI
Jordan Love
Student in an Organized Health Care Education/Training Program · Grand Rapids, MI
NPI number
1265800981
Active
Practice location
6497 Brookhills Ct SE
Grand Rapids, MI 49546-7280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1265800981
Jordan Love's National Provider Identifier is 1265800981, issued on Sep 11, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 11, 2015.