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JORDAN RILEY JACK
NPI 1275284598
Student in an Organized Health Care Education/Training Program in Ames, IA

Active since January 18, 2022
223 FORKER BUILDING 534 WALLACE RD, AMES, IA 50011(515) 783-8297 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Riley Jack NPPES

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

JORDAN RILEY JACK (NPI 1275284598) is an individual student in an organized health care education/training program in Ames, Iowa and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1275284598
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN RILEY JACK
Location Address223 FORKER BUILDING 534 WALLACE RDAmes, IA 50011-0001
Mailing Address2608 Eagle Point CtDes Moines, IA 50320-2838 · (515) 783-8297
Phone(515) 783-8297
Sole ProprietorYes
Enumeration DateJanuary 18, 2022
NPPES CertifiedJanuary 18, 2022
✔ NPI 1275284598 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.
223 FORKER BUILDING 534 WALLACE RD, Ames, IA 50011
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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.

MARY MEIER ATC
Specialist/Technologist (Athletic Trainer)
223 FORKER BUILDING 534 WALLACE RD, IOWA STATE UNIVERSITY
AMES, IA 50011
Story County (515) 294-3587

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 Jack's NPI number?

The NPI number for Jordan Jack is 1275284598. It was assigned to this individual provider in the NPPES registry on January 18, 2022.

Where is Jordan Jack located?

Jordan Jack practices at 223 Forker Building 534 Wallace Rd, Ames, IA 50011. The listed phone number is (515) 783-8297.

What is Jordan Jack'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 Jack was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.