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

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 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.