Individual provider · Type 1 NPI
Justin Long
Student in an Organized Health Care Education/Training Program · Fayetteville, AR
Practice location
125 N. College Ave
Fayetteville, AR 72701
Mailing address
3324 S Old Missouri Rd Apt E201
Springdale, AR 72764-3093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1629950951
Justin Long's National Provider Identifier is 1629950951, issued on Jul 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 25, 2025.