Individual provider · Type 1 NPI
Jared Jackson Ivey
Student in an Organized Health Care Education/Training Program · Dillon, SC
NPI number
1407731441
Active
Practice location
607 E Jefferson St
Dillon, SC 29536-3019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 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.
About NPI 1407731441
Jared Jackson Ivey's National Provider Identifier is 1407731441, issued on Aug 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dillon, SC. The record was last updated on Aug 8, 2025.