Individual provider · Type 1 NPI

Jordan Legendre

Student in an Organized Health Care Education/Training Program · Lynchburg, VA

NPI number 1811436769 Active

Practice location

2900 Weeping Willow Drive, Apt. I
Lynchburg, VA 24501

Call (503) 866-1425 Map

Mailing address

2900 Weeping Willow Dr, Apt. I
Lynchburg, VA 24501-3944

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 1811436769

Jordan Legendre's National Provider Identifier is 1811436769, issued on Feb 13, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lynchburg, VA. The record was last updated on Feb 13, 2017.