Individual provider · Type 1 NPI

Elliott Abbott Jaye

Student in an Organized Health Care Education/Training Program · College Station, TX

NPI number 1952962102 Active

Practice location

400 Bizzell St
College Station, TX 77843-0001

Mailing address

2500 Central Park Ln Apt 1107
College Station, TX 77840-4070

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1952962102

Elliott Abbott Jaye's National Provider Identifier is 1952962102, issued on Jun 27, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in College Station, TX. The record was last updated on Jun 27, 2019.