Individual provider · Type 1 NPI

Jordan Jackson

Student in an Organized Health Care Education/Training Program · Margate, FL

NPI number 1497419840 Active

Practice location

2801 N State Road 7
Margate, FL 33063-5727

Mailing address

227 E 35th St
Tulsa, OK 74105-2509

Other practice locations

  • 1111 W 17th St, Tulsa, OK 74107-1886 · (918) 582-1972

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 1497419840

Jordan Jackson's National Provider Identifier is 1497419840, issued on Oct 22, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Margate, FL. The record was last updated on Mar 20, 2023.