Individual provider · Type 1 NPI
Jordan Carlton
Student in an Organized Health Care Education/Training Program · Ballwin, MO
NPI number
1477475382
Active
Practice location
166 Steamboat Ln
Ballwin, MO 63011-3222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
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About NPI 1477475382
Jordan Carlton's National Provider Identifier is 1477475382, issued on Jul 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ballwin, MO. The record was last updated on Jul 30, 2026.