Individual provider · Type 1 NPI

Jaylen Alonzo Ferguson

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1467358168 Active

Practice location

800 Lakeshore Dr
Birmingham, AL 35229-0001

Call (205) 726-4883 Map

Mailing address

201 Kenniston Dl
Pelham, AL 35124-6254

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XS14998 (AL)

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 1467358168

Jaylen Alonzo Ferguson's National Provider Identifier is 1467358168, issued on Oct 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on Oct 19, 2026.