Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob McGowan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407699366

Jacob McGowan is a Student in an Organized Health Care Education/Training Program in Mesa, Arizona. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1301 S Crismon Rd
Mesa, AZ 85209-3767
Phone: (480) 373-2376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1407699366
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 10, 2024
Mailing address1301 S Crismon Rd, Mesa, AZ 85209-3767

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