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JORDAN JACOMO
NPI 1073191938
Student in an Organized Health Care Education/Training Program in Vienna, VA

Active since March 31, 2021
2804 EVELYN CT, VIENNA, VA 22180(703) 615-7915 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Jacomo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN JACOMO (NPI 1073191938) is an individual student in an organized health care education/training program in Vienna, Virginia and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1073191938
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJORDAN JACOMO
Location Address2804 EVELYN CTVienna, VA 22180-7015
Mailing Address2804 Evelyn CtVienna, VA 22180-7015 · (703) 615-7915
Phone(703) 615-7915
Sole ProprietorNo
Enumeration DateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1073191938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2804 EVELYN CT, Vienna, VA 22180
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM KENWORTHY
Behavior Analyst
2804 EVELYN CT
VIENNA, VA 22180
Fairfax County (917) 837-1328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Jacomo's NPI number?

The NPI number for Jordan Jacomo is 1073191938. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Jordan Jacomo located?

Jordan Jacomo practices at 2804 Evelyn Ct, Vienna, VA 22180. The listed phone number is (703) 615-7915.

What is Jordan Jacomo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Jacomo was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.