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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972072452

Jalyn Gorman is a Student in an Organized Health Care Education/Training Program in Fort Defiance, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2018
Specialties on file
2
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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.

Fort Defiance, AZ

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Additional practice locations (1)

  • 435 N 5th St, Phoenix, AZ 85004-2157 — (602) 827-2450

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATR-009263 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972072452
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 14, 2018
Last updated in NPPESNovember 30, 2020
Certification dateOctober 20, 2020

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