Individual provider · Type 1 NPI
Jordan Tyler McCoy
Student in an Organized Health Care Education/Training Program · Omaha, NE
NPI number
1306246095
Active
Practice location
2112 S 49th St
Omaha, NE 68106-3246
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 1306246095
Jordan Tyler McCoy's National Provider Identifier is 1306246095, issued on Aug 29, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Omaha, NE. The record was last updated on Aug 29, 2014.