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

Jared William Faulk

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861950727

Jared William Faulk is a Student in an Organized Health Care Education/Training Program in Columbia, Missouri. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

1222 E Walnut St Apt 111
Columbia, MO 65201-4972
Phone: (309) 706-0254
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861950727
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 8, 2019
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021
Mailing address3561 Aspen Heights Pkwy Apt C, Columbia, MO 65201-7262

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