IndividualActive
Jordan Stuckey
NPI 1174088637 · Student in an Organized Health Care Education/Training Program · Rex, GA
Provider details
- NPI number
- 1174088637
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2836 Pam Pl
Rex, GA 30273-2337
Phone: (678) 510-8837
Approximate (ZIP-level) locationGet directions
Mailing address
2836 Pam Pl
Rex, GA 30273-2337
Registry dates
- Enumerated
- 2019-02-08
- Last updated
- 2019-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.