Individual provider · Type 1 NPI

Madison De Gruiter

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

NPI number 1922842244 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Call (601) 984-5012 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 1922842244

Madison De Gruiter's National Provider Identifier is 1922842244, issued on Jun 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Jun 21, 2024.