Individual provider · Type 1 NPI

Jordan Ellis

Student in an Organized Health Care Education/Training Program · Ann Arbor, MI

NPI number 1720654544 Active

Practice location

1500 E Medical Center Drive, Uh B1D530, Spc 5030
Ann Arbor, MI 48109-5030

Call (734) 615-4924 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351047774 (MI)

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 1720654544

Jordan Ellis's National Provider Identifier is 1720654544, issued on Jun 2, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on Jun 2, 2021.