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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114509643

Jonathan Gregg McConnell, STUDENT is a Student in an Organized Health Care Education/Training Program in Montgomery, Alabama. Practices as a sole proprietor and works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

2105 E South Blvd
Montgomery, AL 36116-2409
Phone: (334) 288-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 400 Taylor Rd, Montgomery, AL 36117-3511 — (334) 277-8330
  • 124 S Memorial Dr, Prattville, AL 36067-3619 — (334) 365-0651

Specialties & licences

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

Record details

NPI number1114509643
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorYes
NPI enumeratedApril 23, 2021
Last updated in NPPESApril 23, 2021
Certification dateApril 22, 2021
Mailing address716 Liberty Lake Dr, Vestavia, AL 35242-7547

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