Individual provider · Type 1 NPI

Jonathan A. Nixon

Student in an Organized Health Care Education/Training Program · Wilkes Barre, PA

NPI number 1447779418 Active

Practice location

133 N River St
Wilkes Barre, PA 18711-0800

Call (570) 594-2235 Map

Mailing address

620 Scenic Ave
Bloomsburg, PA 17815

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1447779418

Jonathan A. Nixon's National Provider Identifier is 1447779418, issued on Sep 11, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Sep 11, 2017.