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

Jordin Malik Holmes

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407705759

Jordin Malik Holmes is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

110 Bergen St
Newark, NJ 07103-2495
Phone: (973) 972-4506
Fax: (973) 972-3164
Show map & directions

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 (NJ)

Record details

NPI number1407705759
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 28, 2026
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address10 Turrentine Pl Apt 107, Pittsburgh, PA 15213-2101

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