Individual provider · Type 1 NPI

Jessy Liddle

Student in an Organized Health Care Education/Training Program · Columbus, OH

NPI number 1770968604 Active

Practice location

2469 Stelzer Rd
Columbus, OH 43219-3129

Call (614) 416-6200 Map

Mailing address

1350 King Ave Apt 204
Columbus, OH 43212-2234

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 1770968604

Jessy Liddle's National Provider Identifier is 1770968604, issued on Jul 21, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbus, OH. The record was last updated on Jul 21, 2015.