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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013761147

Jonathan Grant Dicke is a Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2024.

Licensed in
NM
In the registry since
2024
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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.

Albuquerque, NM

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence RS2024-0060 (NM)

Record details

NPI number1013761147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

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