Individual provider · Type 1 NPI

Jordin Malik Holmes

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1407705759 Active

Practice location

110 Bergen St
Newark, NJ 07103-2495

Call (973) 972-4506 Map

Fax (973) 972-3164

Mailing address

10 Turrentine Pl Apt 107
Pittsburgh, PA 15213-2101

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 1407705759

Jordin Malik Holmes's National Provider Identifier is 1407705759, issued on Jan 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Jan 28, 2026.