Individual provider · Type 1 NPI

Madison Jennings

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1649800327 Active

Practice location

635 Commonwealth Ave
Boston, MA 02215-1605

Call (443) 474-7457 Map

Mailing address

141 Chiswick Rd Apt 2B
Brighton, MA 02135-5316

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1649800327

Madison Jennings's National Provider Identifier is 1649800327, issued on Jan 22, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Aug 19, 2020.