JORDAN KYLE WALL
NPI 1548853658
Student in an Organized Health Care Education/Training Program in Virginia Beach, VA

Q: What is Jordan Wall's NPI number?

The NPI number for Jordan Wall is 1548853658. It was assigned to this individual provider in the NPPES registry on February 19, 2021.

Q: What is Jordan Wall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Wall was last updated on February 19, 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.

Active since February 19, 2021

1904 FAIRWEATHER CT, VIRGINIA BEACH, VA 23456(757) 613-0390 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jordan Kyle Wall NPPES

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

JORDAN KYLE WALL (NPI 1548853658) is an individual student in an organized health care education/training program in Virginia Beach, Virginia and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1548853658

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJORDAN KYLE WALL

Location Address1904 FAIRWEATHER CTVirginia Beach, VA 23456-5318

Mailing Address1904 Fairweather CtVirginia Beach, VA 23456-5318 · (757) 613-0390

Phone(757) 613-0390

Sole ProprietorYes

Enumeration DateFebruary 19, 2021

NPPES CertifiedFebruary 19, 2021

✔ NPI 1548853658 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

1904 FAIRWEATHER CT, Virginia Beach, VA 23456

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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 Wall's NPI number?

The NPI number for Jordan Wall is 1548853658. It was assigned to this individual provider in the NPPES registry on February 19, 2021.

Where is Jordan Wall located?

Jordan Wall practices at 1904 Fairweather Ct, Virginia Beach, VA 23456. The listed phone number is (757) 613-0390.

What is Jordan Wall'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 Wall was last updated on February 19, 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.