Individual provider · Type 1 NPI
Jesse Collin Maynor
Student in an Organized Health Care Education/Training Program · Kenner, LA
NPI number
1679488647
Active
Practice location
4520 Williams Blvd Apt Q322
Kenner, LA 70065-1415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 1-190356 (AL) |
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 1679488647
Jesse Collin Maynor's National Provider Identifier is 1679488647, issued on Aug 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kenner, LA. The record was last updated on Aug 15, 2026.