Individual provider · Type 1 NPI
Jordan Ann Wagner
Student in an Organized Health Care Education/Training Program · Fallston, MD
NPI number
1760939136
Active
Practice location
3351 Fallston Rd
Fallston, MD 21047-1020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
Other student in an organized health care education/training program providers in Fallston
About NPI 1760939136
Jordan Ann Wagner's National Provider Identifier is 1760939136, issued on Sep 2, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fallston, MD. The record was last updated on Sep 2, 2016.