Jack Henry Victory
Jack Henry Victory is a Student in an Organized Health Care Education/Training Program in Durham, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2301 Erwin RdDurham, NC 27705-4699
Phone: (919) 684-8111
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1821892142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 3, 2025 |
| Last updated in NPPES | April 3, 2025 |
| Certification date | April 3, 2025 |
| Mailing address | 2301 Erwin Rd, Durham, NC 27705-4699 |
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