Individual provider · Type 1 NPI

Jordana Renee Divento, MPH, NBC-HWC, KYT

Student in an Organized Health Care Education/Training Program · Santa Maria, CA

NPI number 1316856669 Active

Practice location

1414 S Miller St Ste G
Santa Maria, CA 93454-6962

Call (760) 459-9790 Map

Mailing address

431 Fernwood Dr
San Bruno, CA 94066-1944

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 1316856669

Jordana Renee Divento, MPH, NBC-HWC, KYT's National Provider Identifier is 1316856669, issued on Sep 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Maria, CA. The record was last updated on Sep 3, 2026.