Individual provider · Type 1 NPI

Jaylon Moore

Student in an Organized Health Care Education/Training Program · Washington, DC

NPI number 1619868411 Active

Practice location

1150 1st St NE Apt 1017
Washington, DC 20002-8922

Call (202) 904-7978 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone 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 1619868411

Jaylon Moore's National Provider Identifier is 1619868411, issued on Jul 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Washington, DC. The record was last updated on Jul 10, 2025.