Individual provider · Type 1 NPI

Jada Amanda Tyson

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1285192773 Active

Practice location

3237 Seymour Ave
Bronx, NY 10469-2917

Call (347) 724-5355 Map

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 1285192773

Jada Amanda Tyson's National Provider Identifier is 1285192773, issued on Mar 4, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Mar 4, 2019.