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Jordan Elisabeth Basham, MD
Student in an Organized Health Care Education/Training Program in Springfield, Massachusetts
NPI 1871940981

Jordan Elisabeth Basham is a Student in an Organized Health Care Education/Training Program based in Springfield, MA. Jordan Elisabeth Basham practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Jordan Elisabeth Basham is 1871940981 and holds a License No. (Massachusetts).

The current practice location address for Jordan Elisabeth Basham is 759 Chestnut St, Springfield, MA and can be reached out via phone at 413-794-0000.

Location: 759 Chestnut St, Springfield, MA, 01199-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871940981
Provider Name
Jordan Elisabeth Basham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
759 Chestnut St, Springfield, MA, 01199-1001
Phone Number
413-794-0000
Fax Number
Provider Enumeration Date
05/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
759 Chestnut St
City
Springfield
State
Massachusetts
Zip
01199-2804
Phone Number
413-794-0000
Fax Number
person
Provider Business Mailing Address Details
Address
759 Chestnut St
City
Springfield
State
Massachusetts
Zip
01199-2804
Phone Number
413-794-0000
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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