Individual provider · Type 1 NPI

Jacob Stults, DO

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

NPI number 1932901352 Active

Practice location

260 Hospital Dr Ste 103
Ukiah, CA 95482-4568

Mailing address

260 Hospital Dr Ste 101
Ukiah, CA 95482-4568

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 1932901352

Jacob Stults, DO's National Provider Identifier is 1932901352, issued on Mar 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ukiah, CA. The record was last updated on Mar 26, 2025.