Individual provider · Type 1 NPI

Jackson Wesley Lari

Student in an Organized Health Care Education/Training Program · Bethesda, MD

NPI number 1679405633 Active

Practice location

4301 Jones Bridge Rd
Bethesda, MD 20814-4799

Mailing address

310 Peach St
Shelby, NC 28150-5560

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 1679405633

Jackson Wesley Lari's National Provider Identifier is 1679405633, issued on Jun 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bethesda, MD. The record was last updated on Jun 2, 2026.