Individual provider · Type 1 NPI

Ian Long

Student in an Organized Health Care Education/Training Program · Clarksville, TN

NPI number 1538091079 Active

Practice location

3071 Timberdale Dr
Clarksville, TN 37042-8855

Call (931) 263-4154 Map

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 1538091079

Ian Long's National Provider Identifier is 1538091079, issued on Jun 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clarksville, TN. The record was last updated on Jun 1, 2026.