Individual provider · Type 1 NPI

Ellie Kimiko Garrett

Student in an Organized Health Care Education/Training Program · Jacksonville, AL

NPI number 1609753847 Active

Practice location

600 Ivy Row NW Apt 236
Jacksonville, AL 36265-3420

Call (970) 581-7207 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 1609753847

Ellie Kimiko Garrett's National Provider Identifier is 1609753847, issued on Aug 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, AL. The record was last updated on Aug 19, 2025.