Individual provider · Type 1 NPI

Jordan Jane Graham

Student in an Organized Health Care Education/Training Program · Stephenville, TX

NPI number 1487428314 Active

Practice location

1333 W Washington St
Stephenville, TX 76401-4168

Mailing address

1102 College Farm Rd Unit 203
Stephenville, TX 76401-2737

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 1487428314

Jordan Jane Graham's National Provider Identifier is 1487428314, issued on Nov 10, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stephenville, TX. The record was last updated on Nov 10, 2023.