Individual provider · Type 1 NPI
Jordan Nash-Boulden
Student in an Organized Health Care Education/Training Program · Tempe, AZ
NPI number
1689280034
Active
Practice location
6000 S Lakeshore Dr
Tempe, AZ 85283-3049
Mailing address
29210 N 50th Pl
Cave Creek, AZ 85331-2349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| 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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About NPI 1689280034
Jordan Nash-Boulden's National Provider Identifier is 1689280034, issued on Sep 21, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tempe, AZ. The record was last updated on Sep 21, 2020.