Individual provider · Type 1 NPI

Mohammad Jamal Abufadalah

Student in an Organized Health Care Education/Training Program · Tupelo, MS

NPI number 1861337636 Active

Practice location

830 South Gloster
Tupelo, MS 38801

Call (662) 377-6652 Map

Mailing address

830 South Gloster, Tupelo, Ms 38801
Tupelo, MS 38801

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 1861337636

Mohammad Jamal Abufadalah's National Provider Identifier is 1861337636, issued on Apr 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tupelo, MS. The record was last updated on Sep 24, 2026.