Individual provider · Type 1 NPI

Jordan Cole Petitt, MD

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

NPI number 1780390260 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-2155

Call (216) 444-2200 Map

Mailing address

7400 Seabrook Ln
Springfield, VA 22153-2155

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 1780390260

Jordan Cole Petitt, MD's National Provider Identifier is 1780390260, issued on Jan 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, OH. The record was last updated on Mar 27, 2024.