Individual provider · Type 1 NPI

Payton Dudley Alese Dudley

Student in an Organized Health Care Education/Training Program · Jefferson City, MO

NPI number 1831908375 Active

Practice location

5001 Charm Ridge Dr Apt A
Jefferson City, MO 65109-4563

Call (573) 482-5249 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 1831908375

Payton Dudley Alese Dudley's National Provider Identifier is 1831908375, issued on Dec 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jefferson City, MO. The record was last updated on Dec 30, 2024.