Individual provider · Type 1 NPI

Emma Jacqueline Van Dorn

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1720833601 Active

Practice location

240 South 40th Street, Office Of Clinical AFFAIRS-S6A Evans
Philadelphia, PA 19104

Mailing address

12 Narcissus Dr
Syosset, NY 11791-2821

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 1720833601

Emma Jacqueline Van Dorn's National Provider Identifier is 1720833601, issued on Apr 23, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 23, 2024.