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

Jake E Dertinger

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1326892472

Jake E Dertinger is a Student in an Organized Health Care Education/Training Program in Fort Bliss, Texas. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Phone: (915) 742-0576
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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 number1326892472
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024
Mailing address18511 Highlander Medics St, Fort Bliss, TX 79906-5327

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