Individual provider · Type 1 NPI

Jordan Tyler Deangelis, DO

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1881273399 Active

Practice location

2195 Harrodsburg Rd
Lexington, KY 40504-3516

Call (859) 323-5000 Map

Mailing address

928 E Brentwood Dr
Morristown, TN 37814-1249

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 1881273399

Jordan Tyler Deangelis, DO's National Provider Identifier is 1881273399, issued on Apr 3, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Apr 3, 2021.