Individual provider · Type 1 NPI

Charnaa Dejean

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

NPI number 1548894561 Active

Practice location

1602 Cardinal St Apt 1332B
Nacogdoches, TX 75961-4360

Call (469) 271-6117 Map

Mailing address

1464 Bobing Dr
Lewisville, TX 75067-6045

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 1548894561

Charnaa Dejean's National Provider Identifier is 1548894561, issued on Feb 28, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nacogdoches, TX. The record was last updated on Feb 28, 2020.