Individual provider · Type 1 NPI

Jacob Allen

Student in an Organized Health Care Education/Training Program · Fort Moore, GA

NPI number 1639053077 Active

Practice location

6600 Van Aalst Blvd Bldg 9250
Fort Moore, GA 31905-2102

Call (978) 430-1937 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 1639053077

Jacob Allen's National Provider Identifier is 1639053077, issued on Jul 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Moore, GA. The record was last updated on Jul 31, 2025.