Individual provider · Type 1 NPI

Jordan Riley Jack

Student in an Organized Health Care Education/Training Program · Ames, IA

NPI number 1275284598 Active

Practice location

223 Forker Building 534 Wallace Rd
Ames, IA 50011-0001

Call (515) 783-8297 Map

Mailing address

2608 Eagle Point Ct
Des Moines, IA 50320-2838

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 1275284598

Jordan Riley Jack's National Provider Identifier is 1275284598, issued on Jan 18, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ames, IA. The record was last updated on Jan 18, 2022.