Individual provider · Type 1 NPI

Jacqueline Blair Neill, MD

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1407476690 Active

Practice location

1200 N State St Bldg A7D
Los Angeles, CA 90033-1029

Call (323) 442-9064 Map

Mailing address

4760 Merlendale Dr
Atlanta, GA 30327-4930

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 1407476690

Jacqueline Blair Neill, MD's National Provider Identifier is 1407476690, issued on Apr 17, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 17, 2020.