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

Jordan David Couceyro

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053071027

Jordan David Couceyro is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

100 Woodruff Cir NE
Atlanta, GA 30322-1020
Phone: (404) 727-5655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1053071027
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2021
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021

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