Individual provider · Type 1 NPI

Gerald Love Jordon

Student in an Organized Health Care Education/Training Program · Pleasanton, CA

NPI number 1912887985 Active

Practice location

7901 Stoneridge Dr Ste 150
Pleasanton, CA 94588-3502

Call (510) 483-6715 Map

Other practice locations

  • 111 Myrtle St Ste 102, Oakland, CA 94607-2535 · (510) 483-6715

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 1912887985

Gerald Love Jordon's National Provider Identifier is 1912887985, issued on Sep 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pleasanton, CA. The record was last updated on Sep 2, 2025.