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

Stephen William Jacon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356823363

Stephen William Jacon is a Student in an Organized Health Care Education/Training Program in Newnan, Georgia. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

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.

Newnan, GA

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356823363
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 5, 2018
Last updated in NPPESJune 12, 2019

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