JORDAN SMITH
NPI 1326603093
Student in an Organized Health Care Education/Training Program in Madison, WI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 07, 2019

1475 ENGINEERING DR, MADISON, WI 53706(608) 577-8878 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jordan Smith NPPES

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

JORDAN SMITH (NPI 1326603093) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1326603093

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJORDAN SMITH

Location Address1475 ENGINEERING DRMadison, WI 53706-1607

Mailing Address922 E Dayton St Apt BMadison, WI 53703-2369 · (608) 577-8878

Phone(608) 577-8878

Sole ProprietorNo

Enumeration DateMay 7, 2019

✔ NPI 1326603093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

1475 ENGINEERING DR, Madison, WI 53706

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