Individual provider · Type 1 NPI

Jordan Rolla Renard

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1750221834 Active

Practice location

875 Union Ave
Memphis, TN 38103-3513

Call (901) 448-6240 Map

Mailing address

2540 Broad Ave Apt 253
Memphis, TN 38112-2633

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X13222 (TN)

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 1750221834

Jordan Rolla Renard's National Provider Identifier is 1750221834, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Jun 10, 2026.