Individual provider · Type 1 NPI

Jalen Mergenhagen

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1801427562 Active

Practice location

4201 Henry Ave
Philadelphia, PA 19144-5409

Call (215) 951-2700 Map

Mailing address

6 Lorraine Pl
Buffalo, NY 14224-4805

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1801427562

Jalen Mergenhagen's National Provider Identifier is 1801427562, issued on Jan 31, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 31, 2020.