Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Statom

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679469787

Jacob Statom is a Student in an Organized Health Care Education/Training Program in Birmingham, Alabama. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Birmingham, AL

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1679469787
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 16, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

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