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

Jacob Worden

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063209864

Jacob Worden is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

21 Ortho Lane Som SUITE/5TH Fl
Atlanta, GA 30329
Phone: (404) 778-2516
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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 number1063209864
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address21 Ortho Ln, Atlanta, GA 30329-2315

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