Individual provider · Type 1 NPI
Jordan Hennemyre
Student in an Organized Health Care Education/Training Program · St. Petersburg, FL
NPI number
1639922263
Active
Practice location
700 6th St S
St. Petersburg, FL 33701
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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- David Abraham, DOStudent in an Organized Health Care Education/Training Program St. Petersburg, FL NPI 1033812938
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About NPI 1639922263
Jordan Hennemyre's National Provider Identifier is 1639922263, issued on Apr 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Petersburg, FL. The record was last updated on Apr 11, 2024.