Individual provider · Type 1 NPI

Jessica Coles

Student in an Organized Health Care Education/Training Program · Riverhead, NY

NPI number 1710890694 Active

Practice location

1 Heroes Way
Riverhead, NY 11901-2058

Call (631) 548-6000 Map

Mailing address

PO Box 188
Laurel, NY 11948-0188

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 1710890694

Jessica Coles's National Provider Identifier is 1710890694, issued on Sep 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverhead, NY. The record was last updated on Sep 23, 2026.