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

Jalyn Gorman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972072452

Jalyn Gorman is a Student in an Organized Health Care Education/Training Program in Fort Defiance, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2018
Specialties on file
2

Practice location Address checks out

#1 Aspen Dr
Fort Defiance, AZ 86504
Phone: (928) 729-2290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 435 N 5th St, Phoenix, AZ 85004-2157 — (602) 827-2450

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATR-009263 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972072452
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 14, 2018
Last updated in NPPESNovember 30, 2020
Certification dateOctober 20, 2020
Mailing addressPo Box 864, Window Rock, AZ 86515-0864

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