Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN RILEY JACK
Active Sole ProprietorJORDAN RILEY JACK is a Student (Health Education/Training) healthcare provider located in AMES, Iowa. NPI 1275284598 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · AMES, IA
Registration Details
- NPI Number
- 1275284598
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2022 (4.391713694417 yrs)
- Last Updated
- Jan 18, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
223 FORKER BUILDING 534 WALLACE RDAMES, IA, 500110001Browse IA providers · Browse ZIP 50011
- Phone
- 5157838297
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in AMES, IA
| Name | Credential | NPI |
|---|---|---|
| AVA GOLCHIN | M.D. | 1740573583 |
| JORDAN JEROME HAYES | — | 1861875239 |
| QUINTIN SMIDZIK | — | 1376905679 |
| CODY KLIEVER | — | 1851849335 |
| ALAYA M. JOHNSON | — | 1205490588 |
| DILLON JOEL BENNETT | — | 1679107023 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.