Individual provider · Type 1 NPI
Wiley Clark Branch
Student in an Organized Health Care Education/Training Program · Durant, MS
NPI number
1942979232
Active
Practice location
89 W Cedar St
Durant, MS 39063-3509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1942979232
Wiley Clark Branch's National Provider Identifier is 1942979232, issued on Sep 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Durant, MS. The record was last updated on Sep 9, 2021.