Individual provider · Type 1 NPI
Jerod Pettus
Student in an Organized Health Care Education/Training Program · Spotsylvania, VA
NPI number
1356929129
Active
Practice location
11403 Bluffs Rdg
Spotsylvania, VA 22551-8915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
About NPI 1356929129
Jerod Pettus's National Provider Identifier is 1356929129, issued on Mar 31, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spotsylvania, VA. The record was last updated on Mar 31, 2021.