Individual provider · Type 1 NPI

Jacob Thatcher Ballard

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

NPI number 1487591038 Active

Practice location

1 Guthrie Sq
Sayre, PA 18840-1625

Call (570) 888-6666 Map

Mailing address

10137 W Vienna Ave
Wauwatosa, WI 53222-2352

Specialties and licenses

TaxonomyCodeLicense
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 1487591038

Jacob Thatcher Ballard's National Provider Identifier is 1487591038, issued on May 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sayre, PA. The record was last updated on May 1, 2026.