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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194337055

Jordan Bautista Gelacio is a Student in an Organized Health Care Education/Training Program in Portsmouth, Virginia. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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.

Portsmouth, VA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 90172 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194337055
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 20, 2020
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

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