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

Mr. Justin Long

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629950951

Mr. Justin Long is a Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

125 N College Ave
Fayetteville, AR 72701
Phone: (479) 637-6809
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

Record details

NPI number1629950951
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 25, 2025
Last updated in NPPESJuly 25, 2025
Certification dateJuly 14, 2025

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