Individual provider · Type 1 NPI

Megan Elliott Jacoby

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

NPI number 1992054605 Active

Practice location

2712 Telegraph Ave
Berkeley, CA 94705-1117

Mailing address

2245 Central Ave
Alameda, CA 94501-4410

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 1992054605

Megan Elliott Jacoby's National Provider Identifier is 1992054605, issued on Sep 10, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Sep 10, 2012.