Individual provider · Type 1 NPI

Taylor Jackson

Student in an Organized Health Care Education/Training Program · Bowling Green, OH

NPI number 1992173025 Active

Practice location

707 E Merry Ave
Bowling Green, OH 43403-4502

Call (703) 835-4160 Map

Mailing address

10436 Malone Ct
Fairfax, VA 22032-2372

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 1992173025

Taylor Jackson's National Provider Identifier is 1992173025, issued on Sep 6, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bowling Green, OH. The record was last updated on Sep 6, 2015.