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

Jordan Bautista Gelacio

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194337055

Jordan Bautista Gelacio is a Student in an Organized Health Care Education/Training Program in Portsmouth, Virginia. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (619) 947-3757
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 90172 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194337055
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 20, 2020
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

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