Individual provider · Type 1 NPI

Jordan Mackenzie Loomis

Student in an Organized Health Care Education/Training Program · Austin, TX

NPI number 1780189894 Active

Practice location

2409 University Ave
Austin, TX 78712-1112

Call (512) 471-1737 Map

Mailing address

4600 W Guadalupe St Apt B413
Austin, TX 78751-2968

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 1780189894

Jordan Mackenzie Loomis's National Provider Identifier is 1780189894, issued on Mar 29, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Austin, TX. The record was last updated on Mar 29, 2018.