Jordan Riley Jack
Jordan Riley Jack is a Student in an Organized Health Care Education/Training Program in Ames, Iowa. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
223 Forker Bldg 534 Wallace RDAmes, IA 50011-0001
Phone: (515) 783-8297
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1275284598 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 18, 2022 |
| Last updated in NPPES | January 18, 2022 |
| Certification date | January 18, 2022 |
| Mailing address | 2608 Eagle Point Ct, Des Moines, IA 50320-2838 |
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