person
Jordan Riley Jack
Student in an Organized Health Care Education/Training Program in Ames, Iowa
NPI 1275284598

Jordan Riley Jack is a Student in an Organized Health Care Education/Training Program based in Des Moines, IA. Jordan Riley Jack practices in Ames, IA. The NPI Number for Jordan Riley Jack is 1275284598 and holds a License No. (Iowa).

The current practice location address for Jordan Riley Jack is 223 Forker Building 534 Wallace Rd, Ames, IA and can be reached out via phone at 515-783-8297.

Location: 223 Forker Building 534 Wallace Rd, Ames, IA, 50320-2838
person
Provider Profile Details
NPI Number
1275284598
Provider Name
Jordan Riley Jack
Credential
Provider Entity Type
Individual
Gender
Male
Address
223 Forker Building 534 Wallace Rd, Ames, IA, 50320-2838
Phone Number
515-783-8297
Fax Number
Provider Enumeration Date
01/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
223 Forker Building 534 Wallace Rd
City
State
Zip
50011-0001
Phone Number
515-783-8297
Fax Number
person
Provider Business Mailing Address Details
Address
223 Forker Building 534 Wallace Rd
City
State
Zip
50011-0001
Phone Number
515-783-8297
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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