Individual provider · Type 1 NPI

Jacob Landreth

Student in an Organized Health Care Education/Training Program · Grand Rapids, MI

NPI number 1679320691 Active

Practice location

1315 Gladstone Dr SE
Grand Rapids, MI 49506-3949

Call (616) 890-4298 Map

Mailing address

2013 Eastcastle Dr SE Ste B
Grand Rapids, MI 49508-8873

Other practice locations

  • 2013 Eastcastle Dr SE Ste B, Grand Rapids, MI 49508-8873 · (616) 888-1120

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 1679320691

Jacob Landreth's National Provider Identifier is 1679320691, issued on May 6, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 6, 2024.