Individual provider · Type 1 NPI

Jerry Renesis

Student in an Organized Health Care Education/Training Program · Roanoke, VA

NPI number 1518767516 Active

Practice location

2111 Woodland Rd SE
Roanoke, VA 24014-4641

Call (757) 285-7710 Map

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 1518767516

Jerry Renesis's National Provider Identifier is 1518767516, issued on Mar 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Roanoke, VA. The record was last updated on Apr 23, 2025.