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

Jordan Costello

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962017947

Jordan Costello is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

4201 E Knox Rd
Phoenix, AZ 85044-4701
Phone: (480) 759-8449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10045 E Madero Ave, Mesa, AZ 85209-1399 — (480) 290-8269

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATR-009421 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1962017947
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2020
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022
Mailing address490 E Appaloosa Rd, Gilbert, AZ 85296-2959

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