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Jake Johnson
Student in an Organized Health Care Education/Training Program in Pella, Iowa
NPI 1144708652

Jake Johnson is a Student in an Organized Health Care Education/Training Program based in Pella, IA. Jake Johnson practices in Pella, IA. The NPI Number for Jake Johnson is 1144708652 and holds a License No. (Iowa).

The current practice location address for Jake Johnson is 812 University St, Pella, IA and can be reached out via phone at 877-462-3687.

Location: 812 University St, Pella, IA, 50219-1999
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144708652
Provider Name
Jake Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
812 University St, Pella, IA, 50219-1999
Phone Number
877-462-3687
Fax Number
Provider Enumeration Date
08/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
812 University St
City
Pella
State
Iowa
Zip
50219-1902
Phone Number
877-462-3687
Fax Number
person
Provider Business Mailing Address Details
Address
812 University St
City
Pella
State
Iowa
Zip
50219-1902
Phone Number
877-462-3687
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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