Individual provider · Type 1 NPI

Jonathon D. Deporter, TLLP

Student in an Organized Health Care Education/Training Program · Fort Liberty, NC

NPI number 1992530349 Active

Practice location

2175 Rock Merrit Ave
Fort Liberty, NC 28310-5000

Call (910) 907-7698 Map

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 1992530349

Jonathon D. Deporter, TLLP's National Provider Identifier is 1992530349, issued on Sep 5, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Liberty, NC. The record was last updated on Sep 5, 2024.