Individual provider · Type 1 NPI

Jordan Brantley

Student in an Organized Health Care Education/Training Program · Springdale, AR

NPI number 1780359745 Active

Practice location

956 Mathias Dr
Springdale, AR 72762-0985

Call (479) 419-9911 Map

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 1780359745

Jordan Brantley's National Provider Identifier is 1780359745, issued on Aug 11, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springdale, AR. The record was last updated on Aug 11, 2021.